Individual provider Active NPI

Maninder Singh Guram, M.D.

  • Gastroenterology Physician
  • Tomball, TX
National Provider Identifier
1689671307
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J0511 Issued in TX
Practice address
425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189
Phone
(281) 205-7522
NPI assigned
Jul 7, 2005
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J0511 TX Primary

Addresses

Primary practice location

425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189

Mailing address

425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189
Phone (281) 205-7522

Other identifiers 3

IdentifierTypeStateIssuer
038198001MedicaidTX
890983OtherTXMEDICARE
0985004MedicaidTX

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
I20110429000024 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 1456343524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

2255 E Mossy Oaks Rd
Suite 500
Spring, TX 77389-1813
Phone (281) 440-5300

22751 Professional Dr
Suite 140
Kingwood, TX 77339-6024
Phone (281) 440-5300

26940 Kuykendahl Rd
Tomball, TX 77375-3515
Phone (281) 440-5300

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0511TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Wellness LLC Current Accepting new patients
Tomball Gastroenterology Associates P.a Gastroenterology CurrentSince Jul 12, 2019 Accepting new patients
David P Ellent PLLC CurrentSince Jan 15, 2020 Accepting new patients
North Houston Family Medicine PLLC Gastroenterology CurrentSince Nov 12, 2018 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 1, 2024 Accepting new patients
Creekside Premier Medical Group PLLC Gastroenterology CurrentSince Dec 1, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 1, 2024 Accepting new patients
David P Ellent PLLC CurrentSince Jan 15, 2020 Accepting new patients
Cypresswood Physicians PLLC Past Accepting new patients
Millennium Physicians Association, PLLC Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

8901 FM 1960 Bypass Rd W
Ste 308
Humble, TX 77338
Phone (281) 312-8540

1710 W Lake Houston Pkwy
Ste 260B
Kingwood, TX 77339
Phone (346) 522-2550

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

2950 Cullen Blvd
Ste 101
Pearland, TX 77584
Phone (281) 977-7444

24540 FM 1314 Rd
Porter, TX 77365
Phone (281) 354-4009

151 Cypresswood Dr
Spring, TX 77388
Phone (832) 286-1664

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

155 School St
Ste 250
Tomball, TX 77375
Phone (281) 205-7522

24727 State Highway 249
Ste 120
Tomball, TX 77375

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

425 Holderrieth Blvd
Ste 114
Tomball, TX 77375
Phone (281) 205-7522

506 Graham Dr
Ste 230
Tomball, TX 77375
Phone (281) 205-7522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20142/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: maninder.guram.1@16739.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.1@8042.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.10@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.2@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.4@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.5@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.6@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.7@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.8@11939.direct.athenahealth.com
  • Direct secure messaging: maninder.guram.9@11939.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1689671307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-205-7522",
            "fax_number": "281-205-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-205-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURAM",
        "first_name": "MANINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J0511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038198001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "890983",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0985004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.