Individual provider Active NPI

Pooja Nowlakha, DPM

  • Podiatrist
  • Sugar Land, TX
National Provider Identifier
1710395488
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2301 Issued in TX
Practice address
3511 Town Center Blvd S Ste 101
Sugar Land, TX 77479
Phone
(281) 565-0738
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X T36-2014 TX
Podiatrist 213E00000X T36-2014 TX
Foot & Ankle Surgery Podiatrist 213ES0103X T36-2014 TX
Podiatrist 213E00000X 2301 TX Primary

Addresses

Primary practice location

3511 Town Center Blvd S Ste 101
Sugar Land, TX 77479

Mailing address

3511 Town Center Blvd S Ste 101
Sugar Land, TX 77479-1464
Phone (281) 565-0738

Other practice location 1

7501 Fannin St Ste 600
Houston, TX 77054-1938
Phone (713) 375-7761

Other identifiers 1

IdentifierTypeStateIssuer
T36- 2014OtherTXTEMPORARY STATE BOARD LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122001382 TX Practitioner - Podiatry 6103185020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P.K.Nowlakha.M.D.,PAGroup PAC ID 8325170186, 2 clinicians

Practice addresses (Care Compare)

3511 Town Ctr Blvd S
Suite 101
Sugar Land, TX 77479-1464
Phone (281) 565-0738

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Encompass Health Rehabilitation Hospital of Sugar Inpatient rehabilitation facility, Sugar Land, TX, CCN 673042
  • Pam Health Rehabilitation Hospital of Sugar Land Inpatient rehabilitation facility, Sugar Land, TX, CCN 673068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue112
Removal of skin lesions1-10
Removal of nail tissue369
Removal or shaving of skin growth107
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301TXMDPodiatrist
T36-2014TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
P.K.Nowlakha.M.D.,PA CurrentSince Nov 1, 2017 Accepting new patients

Locations

7500 Beechnut St
Ste 251
Houston, TX 77074
Phone (281) 501-3033

3511 Town Center Blvd S
Ste 101
Sugar Land, TX 77479
Phone (281) 565-0738

Organizations & group practices 1

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1710395488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 TOWN CENTER BLVD S STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791464",
            "telephone_number": "281-565-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 TOWN CENTER BLVD S STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-565-0738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Fannin St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541938",
            "country_code": "US",
            "telephone_number": "713-375-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLAKHA",
        "first_name": "POOJA",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "T36-2014",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "T36-2014",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T36-2014",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY STATE BOARD LICENSE",
            "identifier": "T36- 2014",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.