Individual provider Active NPI

Sunanda Chelikani Kotagiri, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1780899989
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P1737 Issued in TX
Practice address
11811 Fallbrook Dr.
Suite B-2
Houston, TX 77065-3600
Phone
(832) 237-8882
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P1737 TX Primary

Addresses

Primary practice location

11811 Fallbrook Dr.
Suite B-2
Houston, TX 77065-3600

Mailing address

11811 Fallbrook Dr.
Suite B-2
Houston, TX 77065-3600
Phone (832) 237-8882

Other identifiers 1

IdentifierTypeStateIssuer
309979802MedicaidTX

Other names 1

  • Sunanda Kotagiri Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P1737TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambreen Aslam, M.D., PLLC Pediatrics Past Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1780899989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 FALLBROOK DR.",
            "address_2": "SUITE B-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653600",
            "telephone_number": "832-237-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 FALLBROOK DR.",
            "address_2": "SUITE B-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653600",
            "telephone_number": "832-237-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELIKANI KOTAGIRI",
        "first_name": "SUNANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309979802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNANDA",
            "last_name": "KOTAGIRI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.