NPIMap

Organization Active NPI

Woodlands Specialty Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
National Provider Identifier
1184042822
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
100265 Issued in TX
Legal business name
WOODLANDS SPECIALTY HOSPITAL
Practice address
25440 Interstate 45 N
Suite 100
The Woodlands, TX 77386-1343
Phone
(281) 602-8160
Fax
(281) 466-1052
NPI assigned
Mar 31, 2014
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Dr. Ravi Moparty, M.D.NPI 1881664142
Title
Owner / Ceo
Phone
(832) 326-8032

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
General Acute Care Hospital 282N00000X 100265 TX Primary

Addresses

Primary practice location

25440 Interstate 45 N
Suite 100
The Woodlands, TX 77386-1343

Mailing address

25440 Interstate 45 N
Suite 100
The Woodlands, TX 77386-1343
Phone (281) 602-8160

Other practice location 1

1441 Woodstead Ct Ste 200
The Woodlands, TX 77380-1449
Phone (281) 713-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200515000890 TX Part A Provider - Hospital 1658594510 Practice locations: Spring, TX
O20231107002116 TX Part B Supplier - Hospital Department(S) 1658594510 Receives reassigned benefits from 4 practitioners
Practice locations: The Woodlands, TX; Spring, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184042822. Details of each certification follow.

Hospital certification: CCN 670267

Legal name
WOODLANDS SPECIALTY HOSPITAL
Doing business as
THE WOODLANDS SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 2020
Last certification
Jun 29, 2023
Beds
6
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 11, 2013 in TX
Enrollment address
25440 Interstate 45 North
Spring, TX 77386-1343
Main/Primary Hospital Location
Hospital subgroups
General, Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
The Woodlands Specialty HospitalCCN 670267 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ravi Kumar Moparty Individual 5% Or Greater Direct Ownership InterestOwner Mar 13, 2013 100%
Corporate OfficerOwner Mar 13, 2013
Suman Smith Individual Corporate DirectorDirector of Managed Care Apr 1, 2019
W-2 Managing EmployeeDirector of Managed Care Apr 1, 2019
Operational/Managerial ControlDirector of Managed Care Apr 1, 2019
Alberto Canales Individual W-2 Managing EmployeeChief Financial Officer Apr 9, 2017
Operational/Managerial ControlChief Financial Officer Apr 9, 2017

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 17

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1184042822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25440 INTERSTATE 45 N",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773861343",
            "telephone_number": "281-602-8160",
            "fax_number": "281-466-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25440 INTERSTATE 45 N",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773861343",
            "telephone_number": "281-602-8160",
            "fax_number": "281-466-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Woodstead Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773801449",
            "country_code": "US",
            "telephone_number": "281-713-5151",
            "fax_number": "281-713-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOODLANDS SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MOPARTY",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "832-326-8032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "100265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.