NPIMap

Individual provider Active NPI

Anu Kelur Mariyappa, M.D

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1215153879
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R0278 Issued in TX
Practice address
129 Vision Park Blvd Ste 205
Shenandoah, TX 77384-3024
Phone
(281) 825-3344
Fax
(281) 825-3340
NPI assigned
Apr 18, 2007
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R0278 TX Primary
Internal Medicine Physician 207R00000X 036136161 IL
Internal Medicine Physician 207R00000X 42592 AZ
Hospitalist Physician 208M00000X 036136161 IL

Addresses

Primary practice location

129 Vision Park Blvd Ste 205
Shenandoah, TX 77384-3024

Mailing address

129 Vision Park Blvd Ste 205
Shenandoah, TX 77384-3024
Phone (281) 825-3344

Other practice location 1

6467 Woodlands Pkwy # A
The Woodlands, TX 77381-3616
Phone (832) 376-3840

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
I20170213000387 TX Practitioner - Internal Medicine 6406991264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

6401 Cypresswood Dr
Suite 180
Spring, TX 77379-8065
Phone (281) 866-7080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0278TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9235 Katy Fwy
Ste 400
Houston, TX 77024
Phone (346) 980-2701

129 Vision Park Blvd
Ste 205
Shenandoah, TX 77384
Phone (281) 825-3344

6401 Cypresswood Dr
Ste 180
Spring, TX 77379
Phone (281) 866-7080

6467 Woodlands Pkwy
#A
The Woodlands, TX 77381
Phone (832) 376-3840

6467 Woodlands Pkwy
Ste A
The Woodlands, TX 77381
Phone (832) 376-3840

Interoperability endpoints

  • Direct secure messaging: anu.mariyappa.1@13711.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1215153879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 205",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "281-825-3344",
            "fax_number": "281-825-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 205",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "281-825-3344",
            "fax_number": "281-825-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6467 Woodlands Pkwy # A",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773813616",
            "country_code": "US",
            "telephone_number": "832-376-3840",
            "fax_number": "832-376-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIYAPPA",
        "first_name": "ANU",
        "middle_name": "KELUR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0278",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036136161",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "42592",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036136161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.