Active NPI
Sandhya Vethachalam, M.D
- Pediatrics Physician
- Springfield, MO
National Provider Identifier
1104234814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2019009765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Area Community Services Inc | Current | Accepting new patients | |
| Houston Area Community Services, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1477795417
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Houston, TX
- NPI 1184585408
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1053539262
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.