Michelle Angeline Suhendra, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P1823 Issued in TX

Practice address

17189 I 45 S
Suite 235
The Woodlands, TX 77385

Phone

(832) 539-7532

Fax

(832) 336-3809

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msuhendra19993@memorialhermann.direct-ci.com

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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821

  Pediatrics

  Medicare reassignment NPD
• Over the Moon Pediatrics, PLLC

  • Pediatrics Physician
  • The Woodlands, TX
  • NPI 1104462753
  NPD Authorized official
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1356615553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PINE BROOK CT",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773814793",
            "telephone_number": "832-640-8382",
            "fax_number": "888-450-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 I 45 S",
            "address_2": "SUITE 235",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77385",
            "telephone_number": "832-539-7532",
            "fax_number": "832-336-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUHENDRA",
        "first_name": "MICHELLE",
        "middle_name": "ANGELINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.suhendra@otmp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "Direct address",
            "affiliationName": "Over The Moon Pediatrics, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD/CCDA, PDF",
            "address_1": "17189 I 45 S",
            "address_2": "Suite 235",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arianne Suarez Lago, M.D
• Nicole Marie Suarez-Bronfman, LMSW
• Kyle J. Suchma, PT
• Sugene Kim MD, PA (SGK Plastic Surgery)
• Jaemi Suh
• Sarah Suki
• Allison Sumbera
• Kara Sumbera
• Talib Karimali Sunesara, DC
• Prahlad Sunil, MD

• Pediatrics Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.