Individual provider Active NPI

Vanessa Carolina Gonnella, M.D

  • Pediatrics Physician
  • Katy, TX
National Provider Identifier
1275859456
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q2285 Issued in TX
Practice address
27524 Westridge Creek LN Ste D
Katy, TX 77494-5290
Phone
(281) 505-1530
Fax
(832) 437-7535
NPI assigned
Apr 13, 2010
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q2285 TX Primary

Addresses

Primary practice location

27524 Westridge Creek LN Ste D
Katy, TX 77494-5290

Mailing address

27524 Westridge Creek LN Ste D
Katy, TX 77494-5290
Phone (281) 505-1530

Other names 1

  • Vanessa Carolina Lugo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buttercup Pediatrics PLLC Single Specialty CurrentSince Jul 3, 2022 Accepting new patients
Topcare Medical Group Inc Single Specialty CurrentSince Oct 8, 2017 Accepting new patients

Locations

1410 Fry Rd
Houston, TX 77084
Phone (281) 206-2234

5230 Aldine Mail Rte
Houston, TX 77039
Phone (281) 598-3300

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

27524 Westridge Creek Ln
Ste D
Katy, TX 77494
Phone (281) 505-1530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23230/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHAFDD/Endpoint/FHAFDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1275859456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27524 WESTRIDGE CREEK LN STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945290",
            "telephone_number": "281-505-1530",
            "fax_number": "832-437-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27524 WESTRIDGE CREEK LN STE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945290",
            "telephone_number": "281-505-1530",
            "fax_number": "832-437-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONNELLA",
        "first_name": "VANESSA",
        "middle_name": "CAROLINA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "LUGO",
            "middle_name": "CAROLINA",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.