Active NPI
Surabhi Kaul
- Neurology with Special Qualifications in Child Neurology Physician
- The Woodlands, TX
National Provider Identifier
1306265657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- T8569
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 45708 | IA | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 25MA11743000 | NJ | MD | Neurology with Special Qualifications in Child Neurology Physician |
| T8569 | TX | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica ABA Therapies PA | Past | Accepting new patients | |
| Cortica Developmental Therapies PA | Past | Accepting new patients | |
| Cortica New Jersey Developmental Therapies, PC | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1942888508
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1619554680
-
- Developmental Disabilities Clinic/Center
- Warren, NJ
- NPI 1104589365
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
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.