Organization Active NPI

Tomball Gastroenterology Associates P.a

  • Gastroenterology Physician
  • Tomball, TX
National Provider Identifier
1154973881
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TOMBALL GASTROENTEROLOGY ASSOCIATES P.A
Practice address
425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189
Phone
(281) 205-7522
Fax
(281) 205-7553
NPI assigned
Jul 12, 2019
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Maninder Singh Guram, MDNPI 1689671307
Title
Owner
Phone
(281) 630-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189

Mailing address

425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189
Phone (281) 205-7522

Other identifiers 2

IdentifierTypeStateIssuer
890982OtherMEDICARE
4224313MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217002534 TX Part B Supplier - Clinic/Group Practice 3072947464 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

155 School St
Ste 250
Tomball, TX 77375
Phone (281) 205-7522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20142/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1154973881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-205-7522",
            "fax_number": "281-205-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-205-7522",
            "fax_number": "281-205-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL GASTROENTEROLOGY ASSOCIATES P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GURAM",
        "authorized_official_first_name": "MANINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-630-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "890982",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4224313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.