Individual provider Active NPI

Sushan Rajmulik, FNP-BC

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1316738529
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1025249 Issued in TX
Practice address
2251 Brambling LN
Conroe, TX 77385-2039
Phone
(713) 503-4146
NPI assigned
May 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1025249 TX
Primary Care Nurse Practitioner 363LP2300X 1025249 TX
Family Nurse Practitioner 363LF0000X 1025249 TX Primary

Addresses

Primary practice location

2251 Brambling LN
Conroe, TX 77385-2039

Mailing address

2251 Brambling LN
Conroe, TX 77385-2039
Phone (713) 503-4146

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924002514 TX Practitioner - Nurse Practitioner 0547765265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BarakathGroup PAC ID 8123552536, 6 clinicians

Practice addresses (Care Compare)

20212 Champion Forest Dr
Suite 100
Spring, TX 77379-8781
Phone (346) 644-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1025249TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fattah PLLC CurrentSince Nov 1, 2025 Accepting new patients
Barakath CurrentSince Jul 12, 2025 Accepting new patients

Locations

20212 Champion Forest Dr
Ste 100
Spring, TX 77379
Phone (346) 478-6611

Organizations & group practices 2

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1316738529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 BRAMBLING LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773852039",
            "telephone_number": "713-503-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 BRAMBLING LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773852039",
            "telephone_number": "713-503-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJMULIK",
        "first_name": "SUSHAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1025249",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1025249",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1025249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.