Individual provider Active NPI

Kritika Malla

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1083475602
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1148057 Issued in TX
Practice address
25722 Kingsland Blvd Ste 111
Katy, TX 77494-2642
Phone
(281) 391-0190
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1148057 TX Primary

Addresses

Primary practice location

25722 Kingsland Blvd Ste 111
Katy, TX 77494-2642

Mailing address

25722 Kingsland Blvd Ste 111
Katy, TX 77494-2642
Phone (281) 391-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130003792 TX Practitioner - Nurse Practitioner 2668901901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ranjit S. Grewal M.D., PA CurrentSince Nov 28, 2024 Accepting new patients
Ranjit Grewal Mdpa PastSince Nov 28, 2024 Accepting new patients

Locations

10726 Huffmeister Rd
Ste 150
Houston, TX 77065
Phone (281) 477-0525

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEIAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1083475602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25722 KINGSLAND BLVD STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942642",
            "telephone_number": "281-391-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25722 KINGSLAND BLVD STE 111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942642",
            "telephone_number": "281-391-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLA",
        "first_name": "KRITIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1148057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.