South Houston Retina

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

SOUTH HOUSTON RETINA

Practice address

8540 Broadway St Ste 210
Pearland, TX 77584-7710

Phone

(281) 866-3853

NPI assigned

May 5, 2023

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Puthenparambil, MDNPI 1679718506

Title

Owner

Phone

(281) 687-0381

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: lputhenparambil@shr.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Puthenparambil, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pearland, TX
  • NPI 1679718506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1285323055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 BROADWAY ST STE 210",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847710",
            "telephone_number": "281-866-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BROADWAY ST STE 210",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847710",
            "telephone_number": "281-866-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOUSTON RETINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "PUTHENPARAMBIL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-687-0381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irel Sotelo
• Brendalis Soto Tosado
• Sound Choices, LLC
• South Houston Endodontics, P.a.
• South Houston Oral,Facial&Implant Surgery Center
• South Loop Sleep Center LLC (Pearland Sleep Center)
• South Texas Counseling and Mentoring Agency (STxCMA)
• Dale Alan Southerland, D.C.
• Southwest Orthopedic Group, LLP
• Southwest Physical Medicine and Rehabilitation PLLC

• Retina Specialist (Ophthalmology) Physician in Pearland, TX
• Providers in Pearland, TX by specialty
• Retina Specialist (Ophthalmology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.