Sanjay S Lulla, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

S2630 Issued in TX

Practice address

17903 W Lake Houston Pkwy Ste 201
Humble, TX 77346

Phone

(281) 812-1846

Fax

(281) 812-2776

NPI assigned

Apr 15, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mehta Medical Group PLLCGroup PAC ID 0941236301, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanjay.lulla@wellspire.eclinicaldirectplus.com

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.

• Mehta Medical Group PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1780708321

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD

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

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1700229234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17903 W LAKE HOUSTON PKWY STE 201",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77346",
            "telephone_number": "281-812-1846",
            "fax_number": "281-812-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Fm 1960 Bypass Rd W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384019",
            "country_code": "US",
            "telephone_number": "281-446-7173",
            "fax_number": "281-446-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LULLA",
        "first_name": "SANJAY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "S2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Christine Lozoya
• LTC of Fall Creek LLC
• Le-Dra Luce
• Bailey Luke, PT, DPT
• Lulian OD, PLLC
• Katy Anne Spence Lund, NP
• Luxe Care Senior Health
• Luxottica of America Inc.
• Luxottica of America Inc.
• M & D Professional Enterprizes PLLC

• Cardiovascular Disease Physician in Humble, TX
• Providers in Humble, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.