Individual provider Active NPI

Sailaja Vallabhajosula, MD

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1548423320
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1603 Issued in TX
Practice address
711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042
Phone
(281) 332-2626
Fax
(281) 332-7272
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P1603 TX Primary

Addresses

Primary practice location

711 W Bay Area Blvd Ste 602
Webster, TX 77598-4042

Mailing address

PO Box 8074
Pasadena, TX 77508-8074
Phone (281) 332-2626

Other identifiers 2

IdentifierTypeStateIssuer
H08HY49401OtherTXBCBS OF TX
296539405MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120531000214 TX Practitioner - Internal Medicine 9032372057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armstrong Medical Group PLLCGroup PAC ID 5496013187, 30 clinicians

Practice addresses (Care Compare)

1307 W League City Pkwy
League City, TX 77573-6313
Phone (281) 332-2626

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
Chca Clear Lake LP Past Accepting new patients

Locations

4545 Post Oak Place Dr
Ste 130
Houston, TX 77027
Phone 7139608008107

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1548423320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8074",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775088074",
            "telephone_number": "281-332-2626",
            "fax_number": "281-332-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W BAY AREA BLVD STE 602",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984042",
            "telephone_number": "281-332-2626",
            "fax_number": "281-332-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLABHAJOSULA",
        "first_name": "SAILAJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "H08HY49401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296539405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.