Active NPI
Mythili NMN Rangan, MD
- Pediatrics Physician
- Tomball, TX
National Provider Identifier
1780651133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G1168
- Practice address
- 27721 State Highway 249
Suite 100
Tomball, TX 77375-3332 - Phone
- (281) 357-5115
- Fax
- (281) 516-9466
- NPI assigned
- Mar 3, 2006
- Last updated
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G1168 | TX | Primary |
Addresses
Primary practice location
27721 State Highway 249
Suite 100
Tomball, TX 77375-3332
Mailing address
11840 FM 1960 Rd W
Houston, TX 77065-3840
Phone (832) 912-7044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035826904 | Medicaid | TX | |
| 760608874 | Other | TX | TAX ID# |
| 035826902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Healthcare of Northwest Houston PA | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Houston, TX
- NPI 1083752059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1780651133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11840 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653840",
"telephone_number": "832-912-7044",
"fax_number": "832-912-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27721 STATE HIGHWAY 249",
"address_2": "SUITE 100",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773753332",
"telephone_number": "281-357-5115",
"fax_number": "281-516-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGAN",
"first_name": "MYTHILI",
"middle_name": "NMN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G1168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035826904",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "760608874",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035826902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.