Stephanie Jeanneth Tharayil, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29107 Issued in OK

Practice address

5819 Highway 6 Ste 300
Missouri City, TX 77459-4061

Phone

(786) 277-1704

Fax

(281) 499-0424

NPI assigned

Apr 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• TCH Pediatric Associates, Inc

  • Pediatrics Physician
  • Houston, TX
  • NPI 1225038326
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1497011977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6 STE 300",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594061",
            "telephone_number": "786-277-1704",
            "fax_number": "281-499-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 HIGHWAY 6 STE 300",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594061",
            "telephone_number": "786-277-1704",
            "fax_number": "281-499-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARAYIL",
        "first_name": "STEPHANIE",
        "middle_name": "JEANNETH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thach Little Smiles
• Charu Krishna Thammavaram, LPC-A
• Vijaya Rao Thandra, M.D.
• Jincy Thankachen
• Sheeja Mathews Tharappel, FNP-C
• The American Keystone Hospice LLC
• The Care Home of Royalty
• The Compound Hub Pharmacy
• The Covenant Home Care Services, Inc
• The Covenant Medical Equipment

• Pediatrics Physician in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.