Individual provider Active NPI

Neeharika Mettupalli, M.BBS

  • Internal Medicine Physician
  • Pasadena, TX
National Provider Identifier
1245657683
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U5462 Issued in TX
Practice address
4048 Red Bluff Rd
Pasadena, TX 77503-3606
Phone
(713) 477-7877
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X U5462 TX Primary

Addresses

Primary practice location

4048 Red Bluff Rd
Pasadena, TX 77503-3606

Mailing address

1643 NW 136TH Ave Ste 100
Sunrise, FL 33323-2857
Phone (954) 835-2841

Other practice location 1

550 Gene Friend Way
San Francisco, CA 94158-2281
Phone (408) 203-7216

Other practice location 2

601 Hamilton Ave
St. Francis Medical Center - Department of Medicine
Trenton, NJ 08629
Phone (609) 599-5061

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816001300 TX Practitioner - Internal Medicine 6608154844 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Inpatient Physicians PLLCGroup PAC ID 4183907652, 32 clinicians

Practice addresses (Care Compare)

4560 FM 1960 Rd W
Suite 101
Houston, TX 77069-4627
Phone (281) 565-1112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5462TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southwest, LLC Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC Internal Medicine CurrentSince Aug 21, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 21, 2023 Accepting new patients
Vanguard Inpatient Physicians, PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Liberty County Hospital District No 1 Past Accepting new patients
Chambers County Public Hospital District No 1 Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

4560 FM 1960 Rd W
Ste 101
Houston, TX 77069
Phone (281) 444-0000

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

4048 Red Bluff Rd
Pasadena, TX 77503
Phone (713) 477-7877

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Interoperability endpoints

  • Direct secure messaging: nmettupalli@landmarkhealth-direct.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1245657683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE STE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232857",
            "telephone_number": "954-835-2841",
            "fax_number": "865-560-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 RED BLUFF RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033606",
            "telephone_number": "713-477-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Gene Friend Way",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941582281",
            "country_code": "US",
            "telephone_number": "408-203-7216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Hamilton Ave",
            "address_2": "St. Francis Medical Center - Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "08629",
            "country_code": "US",
            "telephone_number": "609-599-5061",
            "fax_number": "609-599-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METTUPALLI",
        "first_name": "NEEHARIKA",
        "credential": "M.BBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.