Active NPI
Anita Gottipati, MD
- Neurology Physician
- Cleveland, TX
National Provider Identifier
1235165754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- M0417
- Practice address
- 401 E Crockett Ste B
Cleveland, TX 77327 - Phone
- (281) 592-9992
- Fax
- (281) 659-1081
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | M0417 | TX | |
| Neurology Physician | 2084N0400X | M0417 | TX | Primary |
Addresses
Primary practice location
401 E Crockett Ste B
Cleveland, TX 77327
Mailing address
9305 Pinecroft Dr
Ste 301
Shenandoah, TX 77380-3482
Phone (281) 592-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173172101 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050330000347 | TX | Practitioner - Neurology | 2769474527 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3115 College Park Dr
Suite 109
Conroe, TX 77384-4001
Phone (281) 592-9992
Hospital & facility affiliations
- Applied Home Health
- Aspire Hospital
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0417 | TX | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anita Gottipati, MD PA | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
Locations
401 E Crockett St
Ste B
Cleveland, TX 77327
Phone (281) 592-9992
3115 College Park Dr
Ste 109
The Woodlands, TX 77384
Phone (936) 273-1095
9305 Pinecroft Dr
Ste 301
The Woodlands, TX 77380
Phone (281) 592-9992
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBACCA/Endpoint/CBACCA
Organizations & group practices 1
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Cleveland, TX
- NPI 1740216282
Neuromusculoskeletal Medicine & Omm, TX
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1235104449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1235165754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 PINECROFT DR",
"address_2": "STE 301",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803482",
"telephone_number": "281-592-9992",
"fax_number": "281-659-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CROCKETT STE B",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "77327",
"telephone_number": "281-592-9992",
"fax_number": "281-659-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTIPATI",
"first_name": "ANITA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "TX",
"license": "M0417",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M0417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173172101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.