NPIMap

Individual provider Active NPI

Thandavarajan Gopalakrishnan, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1194786137
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5966 Issued in TX
Practice address
11721 Fuqua St
Houston, TX 77034-4541
Phone
(281) 484-3500
Fax
(281) 484-3517
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K5966 TX Primary

Addresses

Primary practice location

11721 Fuqua St
Houston, TX 77034-4541

Mailing address

11721 Fuqua St
Houston, TX 77034-4541
Phone (281) 484-3500

Other identifiers 1

IdentifierTypeStateIssuer
138972802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000606 TX Practitioner - Internal MedicinePractitioner - Other (Physician) 6305834789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T Gopal and Associates MD PAGroup PAC ID 0547242232, 2 clinicians

Practice addresses (Care Compare)

11721 Fuqua St
Houston, TX 77034-4541

Hospital & facility affiliations

  • Heart to Heart Hospice of Greater Houston LLC Hospice, League City, TX, CCN 671542
  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
  • St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Avir at Pasadena Nursing home, Pasadena, TX, CCN 675625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue265
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K5966TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T. Gopal & Associates, M.D., P.a. Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
Ascension Seton Past Accepting new patients
4300 Vista Rd Opco LLC Past Accepting new patients
Chca Bayshore LP Past Accepting new patients
Pasadena Senior Care, LLC Past Accepting new patients
Smithville Hospital Authority Past Accepting new patients

Locations

11721 Fuqua St
Houston, TX 77034
Phone (281) 217-7761

10594 Fuqua St
Houston, TX 77089
Phone (281) 484-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJHICA/Endpoint/IJHICA
  • Direct secure messaging: tgopalakrishnan468688@direct.stlukeshealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avir at PasadenaPasadena, TX, CCN 675625 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2025
Aug 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194786137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344541",
            "telephone_number": "281-484-3500",
            "fax_number": "281-484-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 FUQUA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344541",
            "telephone_number": "281-484-3500",
            "fax_number": "281-484-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "THANDAVARAJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138972802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.