Individual provider Active NPI

Sasikala Chittimireddy, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1700184231
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4556 Issued in TX
Practice address
14903 El Camino Real
Houston, TX 77062-2603
Phone
(713) 363-7640
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.121059 OH
Internal Medicine Physician 207R00000X P4556 TX Primary

Addresses

Primary practice location

14903 El Camino Real
Houston, TX 77062-2603

Mailing address

14903 El Camino Real
Houston, TX 77062-2603
Phone (713) 363-7640

Other practice location 1

2060 Space Park Dr
Suite 412
Houston, TX 77058-3600
Phone (713) 363-7640

Other practice location 2

2060 Space Park Dr
Suite 412
Houston, TX 77058-3600
Phone (713) 363-7640

Other identifiers 5

IdentifierTypeStateIssuer
347141901MedicaidTX
347141903MedicaidTX
0088055MedicaidOH
8EY781OtherTXBLUE CROSS BLUE SHIELD
8FT407OtherTXBLUE CROSS BLUE SHIELD

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
I20150519001277 TX Practitioner - Internal Medicine 8729228689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

14903 El Camino Real
Houston Methodist Primary Ca
Houston, TX 77062-2603
Phone (281) 333-3509

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.121059OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 14, 2015 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 1, 2016 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Highland District Hospital Professional Services Corporation Internal Medicine Past Accepting new patients

Locations

2060 Space Park Dr
Ste 412
Houston, TX 77058
Phone (281) 335-4095

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

14903 El Camino Real
Houston, TX 77062
Phone (281) 486-7900

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: schittimireddy14326@directhoustonmethodist.org

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 3

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700184231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14903 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622603",
            "telephone_number": "713-363-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14903 EL CAMINO REAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622603",
            "telephone_number": "713-363-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 Space Park Dr",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583600",
            "country_code": "US",
            "telephone_number": "713-363-7640",
            "fax_number": "281-333-3509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Space Park Dr",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583600",
            "country_code": "US",
            "telephone_number": "713-363-7640",
            "fax_number": "281-333-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHITTIMIREDDY",
        "first_name": "SASIKALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.121059",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347141901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347141903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088055",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8EY781",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8FT407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.