Organization Active NPI

Sujatha N Thota MD PA

  • Obstetrics & Gynecology Physician
  • Kingwood, TX
National Provider Identifier
1265665343
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SUJATHA N THOTA MD PA
Practice address
22999 Highway 59 N
Ste 290
Kingwood, TX 77339-4412
Phone
(281) 586-8870
Fax
(281) 586-9191
NPI assigned
Aug 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Sujatha N Thota, MDNPI 1194994616
Title
Physician / Owner
Phone
(281) 608-3551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

22999 Highway 59 N
Ste 290
Kingwood, TX 77339-4412

Mailing address

23423 Highway 59 N
Apt 1115
Kingwood, TX 77339-1550
Phone (281) 608-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000146 TX Part B Supplier - Clinic/Group Practice 4789719436 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Kingwood, TX

National Provider Directory

National Provider Directory

Locations

17070 Red Oak Dr
Ste 409
Houston, TX 77090
Phone (281) 207-0461

150 W Parker Rd
Ste 604
Houston, TX 77076
Phone (713) 695-4275

22999 Highway 59 N
Ste 204
Kingwood, TX 77339
Phone (281) 312-6313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1265665343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23423 HIGHWAY 59 N",
            "address_2": "APT 1115",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391550",
            "telephone_number": "281-608-3551",
            "fax_number": "281-586-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22999 HIGHWAY 59 N",
            "address_2": "STE 290",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394412",
            "telephone_number": "281-586-8870",
            "fax_number": "281-586-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJATHA N THOTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "THOTA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "281-608-3551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.