NPIMap

Individual provider Active NPI

Sowmya Puthalapattu, M.D

  • Nephrology Physician
  • Humble, TX
National Provider Identifier
1316188519
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N1841 Issued in TX
Practice address
19502 McKay Blvd
Suite- 200
Humble, TX 77338-5707
Phone
(281) 540-8779
Fax
(281) 540-8798
NPI assigned
Mar 18, 2009
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1841 TX
Nephrology Physician 207RN0300X N1841 TX Primary

Addresses

Primary practice location

19502 McKay Blvd
Suite- 200
Humble, TX 77338-5707

Mailing address

201 Kingwood Medical Dr
Ste B200
Kingwood, TX 77339-6016
Phone (281) 401-9540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000096 TX Practitioner - NephrologyPractitioner - Internal Medicine 3678613080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18980 W Memorial Dr
Suite 400
Humble, TX 77338-4559
Phone (281) 401-9540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sowmya Puthalapattu PA Nephrology CurrentSince Jun 1, 2013 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
North Houston Renal Consultants, P.a. Nephrology PastSince Aug 1, 2000 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Essam a Girgawy MD PA PastSince Apr 23, 2004 Accepting new patients

Locations

202 E Fort Worth St
Cleveland, TX 77327
Phone (281) 659-9679

5435 Aldine Mail Rte
Houston, TX 77039
Phone (281) 401-9540

18980 W Memorial Dr
Ste 400
Humble, TX 77338
Phone (281) 401-9540

19002 McKay Dr
Humble, TX 77338
Phone (281) 446-6148

19211 McKay Dr
Humble, TX 77338
Phone (281) 869-5907

201 Kingwood Medical Dr
Ste B200
Kingwood, TX 77339
Phone (281) 401-9540

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

22999 Highway 59 N
Ste 124
Kingwood, TX 77339
Phone (281) 318-2043

22999 Highway 59 N
Ste 232
Kingwood, TX 77339
Phone (281) 312-5006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHDDCD/Endpoint/IHDDCD

Organizations & group practices 5

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.

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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1316188519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DR",
            "address_2": "STE B200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396016",
            "telephone_number": "281-401-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19502 MCKAY BLVD",
            "address_2": "SUITE- 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385707",
            "telephone_number": "281-540-8779",
            "fax_number": "281-540-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHALAPATTU",
        "first_name": "SOWMYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1841",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.