NPIMap

Organization Active NPI

Northwest Houston Gastroenterology PA

Doing business as Gastrodoxs PLLC

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1811160773
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NORTHWEST HOUSTON GASTROENTEROLOGY PA
Doing business as
Gastrodoxs PLLC
Practice address
10425 Huffmeister Rd Ste 280
Houston, TX 77065-3430
Phone
(832) 632-4070
Fax
(832) 688-9496
NPI assigned
Apr 10, 2008
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Bharat Pothuri, M.D.NPI 1023187614
Title
Owner
Phone
(832) 632-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

10425 Huffmeister Rd Ste 280
Houston, TX 77065-3430

Mailing address

10425 Huffmeister Rd Ste 280
Houston, TX 77065-3430
Phone (832) 632-4070

Other identifiers 1

IdentifierTypeStateIssuer
290541601MedicaidTX

Other names 1

  • Gastrodoxs PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000318 TX Part B Supplier - Clinic/Group Practice 5294902367 Receives reassigned benefits from 18 practitioners
Practice locations: Houston, TX; Katy, TX; Cypress, TX

National Provider Directory

National Provider Directory

Locations

21212 Northwest Fwy
Ste 545
Cypress, TX 77429
Phone (832) 236-3944

22215 Cypresswood Dr
Ste 315
Cypress, TX 77433
Phone (832) 632-4070

10425 Huffmeister Rd
Ste 280
Houston, TX 77065
Phone (832) 605-7123

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1811160773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653430",
            "telephone_number": "832-632-4070",
            "fax_number": "832-688-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653430",
            "telephone_number": "832-632-4070",
            "fax_number": "832-688-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOUSTON GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "POTHURI",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-632-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290541601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastrodoxs PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.