Organization Active NPI

Koudelka Health Center, LLC

  • Sports Physician Chiropractor
  • Sugar Land, TX
National Provider Identifier
1669741849
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
10355 Issued in TX
Legal business name
KOUDELKA HEALTH CENTER, LLC
Practice address
15200 Southwest Fwy Ste 295
Sugar Land, TX 77478-3865
Phone
(281) 903-7008
Fax
(281) 903-7877
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Todd Edward Koudelka, DCNPI 1972678407
Title
Owner/Manager
Phone
(281) 903-7008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 10355 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 295
Sugar Land, TX 77478-3865

Mailing address

15200 Southwest Fwy Ste 295
Sugar Land, TX 77478-3865
Phone (281) 903-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000323 TX Part B Supplier - Clinic/Group Practice 3072789593 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

15200 Southwest Fwy
Ste 29
Sugar Land, TX 77478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1669741849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 295",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783865",
            "telephone_number": "281-903-7008",
            "fax_number": "281-903-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 295",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783865",
            "telephone_number": "281-903-7008",
            "fax_number": "281-903-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUDELKA HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "KOUDELKA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "281-903-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.