NPIMap

Individual provider Active NPI

Lalitha Guthikonda, MD

  • Neurology Physician
  • Missouri City, TX
National Provider Identifier
1740473305
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P4056 Issued in TX
Practice address
8810 Highway 6
Suite 100
Missouri City, TX 77459-7104
Phone
(832) 325-7080
Fax
(713) 512-2239
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X P4056 TX
Neurology Physician 2084N0400X P4056 TX Primary
Clinical Neurophysiology Physician 2084N0600X P4056 TX

Addresses

Primary practice location

8810 Highway 6
Suite 100
Missouri City, TX 77459-7104

Mailing address

11914 Astoria Blvd
Ste 400
Houston, TX 77089-6049
Phone (832) 325-7080

Other identifiers 3

IdentifierTypeStateIssuer
8FZ619OtherTXBCBS
332623303OtherTXCSHCN
332623302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140219000702 TX Practitioner - Neurology 7214166180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearland Neurology Services, PLLCGroup PAC ID 6103241286, 3 clinicians

Practice addresses (Care Compare)

11914 Astoria Blvd
Suite 400
Houston, TX 77089-6049
Phone (281) 481-4236

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Neurology Services, PLLC Neurology CurrentSince Sep 23, 2020 Accepting new patients

Locations

11914 Astoria Blvd
Ste 400
Houston, TX 77089
Phone (281) 481-4236

3315 Burke Rd
Ste 103
Pasadena, TX 77504
Phone (713) 946-8951

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 7

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1740473305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD",
            "address_2": "STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896049",
            "telephone_number": "832-325-7080",
            "fax_number": "713-512-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 HIGHWAY 6",
            "address_2": "SUITE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597104",
            "telephone_number": "832-325-7080",
            "fax_number": "713-512-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHIKONDA",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "P4056",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P4056",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "P4056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FZ619",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "332623303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332623302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.