Individual provider Active NPI

Umang Khetarpal, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Houston, TX
National Provider Identifier
1306847215
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
L0330 Issued in TX
Practice address
1800 W 26TH St Ste 100
Houston, TX 77008-1450
Phone
(832) 990-2700
Fax
(832) 789-9400
NPI assigned
Aug 2, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X L0330 TX Primary

Addresses

Primary practice location

1800 W 26TH St Ste 100
Houston, TX 77008-1450

Mailing address

1011 Medical Plaza Drive
Ste. 100
Woodlands, TX 77380
Phone (832) 990-2700

Other identifiers 3

IdentifierTypeStateIssuer
044807801MedicaidTX
8A1410OtherTXBLUE CROSS BLUE SHIELD
040015446OtherTXMEDICARE PIN (RAILROAD)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000346 TX Practitioner - OtolaryngologyPractitioner - Sleep MedicinePractitioner - Allergy/ImmunologyPractitioner - Maxillofacial Surgery 0244374577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Maxillofacial Surgery, Sleep Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1011 Medical Plaza Dr
Suite 100
The Woodlands, TX 77380-3248
Phone (832) 990-2700

1800 W 26TH St
Suite 100
Houston, TX 77008-1451
Phone (832) 990-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ear, Nose & Throat Institute, PA CurrentSince Jul 15, 2000 Accepting new patients

Locations

844 Central Blvd
Ste 280
Brownsville, TX 78520
Phone (956) 281-0945

1800 W 26th St
Ste 100
Houston, TX 77008
Phone (732) 990-2700

3117 College Park Dr
Ste 200
The Woodlands, TX 77384
Phone (832) 644-8930

1011 Medical Plaza Dr
Ste 100
The Woodlands, TX 77380
Phone (832) 990-2700

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1306847215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DRIVE",
            "address_2": "STE. 100",
            "city": "WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "832-990-2700",
            "fax_number": "832-789-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 26TH ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081450",
            "telephone_number": "832-990-2700",
            "fax_number": "832-789-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETARPAL",
        "first_name": "UMANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "L0330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044807801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A1410",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN (RAILROAD)",
            "identifier": "040015446",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.