Active NPI
Ai Sumida, M.D.
- Clinical Neurophysiology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- R1888
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1888 | TX | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | 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.
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1265096317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.