Supratik Kumar Moulik, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD438343 Issued in PA

Practice address

1706 Pebblestone CT
Missouri City, TX 77459-1617

Phone

(512) 680-7346

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

University of Texas Southwestern Medical School at Dallas, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (13 of 15)

Locations (25 of 58)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: smoulik@direct.uspi.com

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.

• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  TX

  Medicare reassignment Care Compare group
• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976

  OK, TX

  Medicare reassignment Care Compare group
• Synergy Radiology Associates PLLC

  • Body Imaging Physician
  • Houston, TX
  • NPI 1902802986

  TX

  Medicare reassignment NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1730366832

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Greensboro Radiology, PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1821035999

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, TX

  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  TX

  Medicare reassignment
• TPG Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1194902296

  TX

  Medicare reassignment
• Screening for Life LLC

  • Mobile Radiology Clinic/Center
  • Abilene, TX
  • NPI 1558614388
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Consultants in Radiology PA

  • Diagnostic Radiology Physician
  • Hurst, TX
  • NPI 1922034602

  Diagnostic Radiology

  NPD (past)

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

• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1154595155

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1275568032

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Pasadena, TX
  • NPI 1437323482

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1588838593

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1639343635

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305417600000",
    "number": "1245454693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PEBBLESTONE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591617",
            "telephone_number": "512-680-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PEBBLESTONE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591617",
            "telephone_number": "512-680-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULIK",
        "first_name": "SUPRATIK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD438343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres L Morin
• Manguella Morris
• Janet Renee Morrison
• Ana Beatriz Mosquera Pelegrina
• Hajra Motiwala, PA-C
• Jenelle Alise Mouton
• Kim Gerard Mouton
• MP Ambulance Service Inc.
• MSM Financials, Inc
• Teesha Tomika Muhammad

• Diagnostic Radiology Physician in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2011; 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.

Verify at the official NPI Registry.