Individual provider Active NPI

Kumar Pallav, MD

  • Gastroenterology Physician
  • League City, TX
National Provider Identifier
1255593257
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
T0305 Issued in TX
Practice address
2240 Gulf Fwy S Ste 2.100
League City, TX 77573-5143
Phone
(832) 505-1600
Fax
(281) 309-0419
NPI assigned
Jun 30, 2008
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01083235A IN
Gastroenterology Physician 207RG0100X 22098 MS
Gastroenterology Physician 207RG0100X T0305 TX Primary

Addresses

Primary practice location

2240 Gulf Fwy S Ste 2.100
League City, TX 77573-5143

Mailing address

11476 Space Center Blvd Ste 100
Houston, TX 77059-3656
Phone (713) 486-6325

Other identifiers 1

IdentifierTypeStateIssuer
04030219MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20150629000766 MS Practitioner - GastroenterologyPractitioner - Internal Medicine 3577882661 Reassigns benefits to 1 organization
I20210413001155 TX Practitioner - Gastroenterology 3577882661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6500 W Loop S
Bellaire Station
Bellaire, TX 77401-3535
Phone (713) 572-8122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Upper gastrointestinal (GI) endoscopy for acid reflux145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01083235AINMDGastroenterology Physician
T0305TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Dec 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Ut Physicians CurrentSince Dec 1, 2023 Accepting new patients
Utmb Faculty Group Practice CurrentSince Apr 8, 2021 Accepting new patients

Locations

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

6500 West Loop S
#200F
Bellaire, TX 77401
Phone (713) 572-8122

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

11476 Space Center Blvd
Ste 100
Houston, TX 77059
Phone (713) 486-6325

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

2240 Gulf Fwy S
Ste 2100
League City, TX 77573
Phone (832) 505-1600

Interoperability endpoints

  • Direct secure messaging: kpallav52392@memorialhermann.direct-ci.com

Organizations & group practices 5

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 9

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1255593257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593656",
            "telephone_number": "713-486-6325",
            "fax_number": "713-486-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GULF FWY S STE 2.100",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735143",
            "telephone_number": "832-505-1600",
            "fax_number": "281-309-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAV",
        "first_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01083235A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "22098",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "T0305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04030219",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.