Individual provider Active NPI

Surabhi Kaul

  • Neurology with Special Qualifications in Child Neurology Physician
  • The Woodlands, TX
National Provider Identifier
1306265657
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
T8569 Issued in TX
Practice address
4055 Technology Forest Blvd Ste 150
The Woodlands, TX 77381-2008
Phone
(832) 463-2480
Fax
(832) 416-7577
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA11743000 NJ
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 45708 IA
Student in an Organized Health Care Education/Training Program 390200000X
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X T8569 TX Primary

Addresses

Primary practice location

4055 Technology Forest Blvd Ste 150
The Woodlands, TX 77381-2008

Mailing address

6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724

Other practice location 1

67A Mountain Boulevard Ext.
1st Floor, Unit B
Warren, NJ 07059
Phone (908) 873-6337

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

State licenses

LicenseStateTypeSpecialty
45708IAMDNeurology with Special Qualifications in Child Neurology Physician
25MA11743000NJMDNeurology with Special Qualifications in Child Neurology Physician
T8569TXMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cortica ABA Therapies PA PastSince Sep 21, 2025 Accepting new patients
Cortica Developmental Therapies PA PastSince Feb 26, 2023 Accepting new patients
Cortica New Jersey Developmental Therapies, PC Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: surabhi.kaul.1@14973.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1306265657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 CORNERSTONE CT E STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 TECHNOLOGY FOREST BLVD STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812008",
            "telephone_number": "832-463-2480",
            "fax_number": "832-416-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67A Mountain Boulevard Ext.",
            "address_2": "1st Floor, Unit B",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "07059",
            "country_code": "US",
            "telephone_number": "908-873-6337",
            "fax_number": "908-332-5668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUL",
        "first_name": "SURABHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA11743000",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IA",
            "license": "45708",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "T8569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.