Individual provider Active NPI

Ai Sumida, M.D.

  • Clinical Neurophysiology Physician
  • Shenandoah, TX
National Provider Identifier
1083980908
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
R1888 Issued in TX
Practice address
9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883
Phone
(832) 325-7080
Fax
(713) 512-2239
NPI assigned
Mar 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X R1888 TX
Neurology Physician 2084N0400X R1888 TX
Clinical Neurophysiology Physician 2084N0600X R1888 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 500
Shenandoah, TX 77380-3883

Mailing address

6431 Fannin St Ste 7.044
Houston, TX 77030-1501
Phone (914) 602-1403

Other practice location 1

6410 Fannin St Ste 1014
Houston, TX 77030-5301
Phone (832) 325-7080

Other practice location 2

6410 Fannin St Ste 500
Houston, TX 77030-3005
Phone (713) 500-5482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1888TXMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Aug 1, 2020 Accepting new patients

Locations

6410 Fannin St
Ste 1014
Houston, TX 77030
Phone (713) 500-7100

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

9180 Pinecroft Dr
Ste 500
Shenandoah, TX 77380
Phone (713) 897-5900

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17520 W Grand Pkwy S
Ste 450
Sugar Land, TX 77479
Phone (713) 486-7780

Organizations & group practices 1

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": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1083980908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST STE 7.044",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "914-602-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803883",
            "telephone_number": "832-325-7080",
            "fax_number": "713-512-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770305301",
            "country_code": "US",
            "telephone_number": "832-325-7080",
            "fax_number": "713-512-2239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Fannin St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303005",
            "country_code": "US",
            "telephone_number": "713-500-5482",
            "fax_number": "713-500-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMIDA",
        "first_name": "AI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TX",
            "license": "R1888",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R1888",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "R1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.