Active NPI
Neeharika Mettupalli, M.BBS
- Internal Medicine Physician
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U5462
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| U5462 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southwest, LLC | Internal Medicine | Current | Accepting new patients |
| Ipc Pac Healthcare Services of Texas PLLC | Internal Medicine | Current | Accepting new patients |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Vanguard Inpatient Physicians, PLLC | Internal Medicine | Current | 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
- 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.
-
dba Vanguard
- Internal Medicine Physician
- Sugar Land, TX
- NPI 1801339742
-
- Hospitalist Physician
- Addison, TX
- NPI 1194174201
Internal Medicine
-
dba Focused Care at Pasadena
- Skilled Nursing Facility
- Pasadena, TX
- NPI 1548721392
-
dba Avir at The Lakes
- Skilled Nursing Facility
- Texas City, TX
- NPI 1275867624
-
dba The Phoenix Post-Acute
- Skilled Nursing Facility
- Texas City, TX
- NPI 1255627238
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.