Individual provider Active NPI

Ruth Sudtelgte, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1548037716
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17410 Issued in TX
Practice address
1203 Bingham St
Houston, TX 77007
Phone
(346) 302-5199
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17410 TX Primary

Addresses

Primary practice location

1203 Bingham St
Houston, TX 77007

Mailing address

22135 Dancing Green Dr
Cypress, TX 77433-6418

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
I20251110001305 TX Practitioner - Physician Assistant 3870083645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Arkansas College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ashwin Gowda MD PAGroup PAC ID 9931275898, 7 clinicians

Practice addresses (Care Compare)

8500 Bluffstone CV
Suite A101
Austin, TX 78759-7809
Phone (512) 440-5757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17410TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ashwin Gowda MD PA CurrentSince Aug 17, 2025 Accepting new patients

Locations

8500 Bluffstone Cv
Ste A101
Austin, TX 78759
Phone (512) 328-2102

1221 W Ben White Blvd
Ste 100A
Austin, TX 78704
Phone (512) 440-5757

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11417/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1548037716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22135 DANCING GREEN DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 BINGHAM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "346-302-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDTELGTE",
        "first_name": "RUTH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.