Individual provider Active NPI

Sandhya Vethachalam, M.D

  • Pediatrics Physician
  • Springfield, MO
National Provider Identifier
1104234814
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019009765 Issued in MO
Practice address
3231 S National Ave Ste 100
Springfield, MO 65807-7304
Phone
(417) 885-0810
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019009765 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3231 S National Ave Ste 100
Springfield, MO 65807-7304

Mailing address

3231 S National Ave Ste 100
Springfield, MO 65807-7304

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303004156 TX Practitioner - Pediatric Medicine 4981978020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Marymount University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14095 Main St
Houston, TX 77035-5447

8702 Den Oak Dr
Richmond, TX 77406-4646

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Area Community Services Inc CurrentSince Feb 1, 2026 Accepting new patients
Houston Area Community Services, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Houston Area Community Services, Inc. Past Accepting new patients
Apex Physician Associates of Texas Pediatrics Past Accepting new patients

Locations

14095 Main St
Houston, TX 77035
Phone (832) 830-8345

2150 W 18th St
Ste 300
Houston, TX 77008

2150 W 18th St
Houston, TX 77008
Phone (281) 214-2147

Organizations & group practices 4

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1104234814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-885-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETHACHALAM",
        "first_name": "SANDHYA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2019009765",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.