Active NPI
Lyla S Challa, MD
- Pediatrics Physician
- Baytown, TX
National Provider Identifier
1447360672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G4271
- Practice address
- 4201 Garth Rd
Suite 305
Baytown, TX 77521-3156 - Phone
- (281) 427-0765
- Fax
- (281) 420-8922
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G4271 | TX | Primary |
Addresses
Primary practice location
4201 Garth Rd
Suite 305
Baytown, TX 77521-3156
Mailing address
4201 Garth Rd
Suite 305
Baytown, TX 77521-3156
Phone (281) 427-0765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130787804 | Medicaid | TX | |
| 130787805 | Medicaid | TX |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4271 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1447360672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 GARTH RD",
"address_2": "SUITE 305",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213156",
"telephone_number": "281-427-0765",
"fax_number": "281-420-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 GARTH RD",
"address_2": "SUITE 305",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213156",
"telephone_number": "281-427-0765",
"fax_number": "281-420-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALLA",
"first_name": "LYLA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G4271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130787804",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130787805",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
- Cedar Bayou Medical Clinic, LLC
- Cedar Bayou SCC LLC
- Mindy Marie Cedillo, RDMS(AB,OB/GYN), RVT
- Centerwell Senior Primary Care (TX) PA
- Shaunteel L Chalk, CNM
- Sarma S Challa, M.D.
- Chambers County Public Hospital District No 1
- Chambers County Public Hospital District No. 1
- Conner Chan, MD
- Chandalia Abate PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.