Individual provider Active NPI

Mithilesh Kumar, AU.D.,CCC-A,SLP,FAAA

  • Audiologist
  • Missouri City, TX
National Provider Identifier
1578788121
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80102 Issued in TX
Practice address
4501 Cartwright Road
Unit. 904
Missouri City, TX 77459
Phone
(281) 969-7901
Fax
(281) 476-7383
NPI assigned
Apr 16, 2007
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80102 TX Primary
Speech-Language Pathologist 235Z00000X 102035 TX

Addresses

Primary practice location

4501 Cartwright Road
Unit. 904
Missouri City, TX 77459

Mailing address

5438 Linden Rose LN
Unit. # 904
Sugar Land, TX 77479-7110
Phone (281) 969-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090615000486 TX Practitioner - Qualified Audiologist 2264582113 Reassigns benefits to 2 organizations
I20130107000204 TX Practitioner - Qualified Speech Language Pathologist 2264582113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4220 Cartwright Rd
Missouri City, TX 77459-5316
Phone (281) 996-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Chavda M.D PA CurrentSince Sep 1, 2022 Accepting new patients
Speech & Hearing Associates Inc Audiologist CurrentSince Apr 1, 2011 Accepting new patients

Locations

7737 Southwest Fwy
Ste 300
Houston, TX 77074
Phone (281) 688-4088

4220 Cartwright Rd
Ste 1101
Missouri City, TX 77459
Phone (281) 996-9790

4501 Cartwright Rd
Ste 904
Missouri City, TX 77459
Phone (281) 969-7901

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1578788121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 LINDEN ROSE LN",
            "address_2": "UNIT. # 904",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797110",
            "telephone_number": "281-969-7901",
            "fax_number": "281-476-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT ROAD",
            "address_2": "UNIT. 904",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-969-7901",
            "fax_number": "281-476-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MITHILESH",
        "name_prefix": "Dr.",
        "credential": "AU.D.,CCC-A,SLP,FAAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80102",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.