NPIMap

Individual provider Active NPI

Sudha Sudhakar Tallavajhula, MBBS

  • Clinical Neurophysiology Physician
  • Houston, TX
National Provider Identifier
1851595441
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
N4777 Issued in TX
Practice address
6410 Fannin St Ste 1014
Houston, TX 77030-5301
Phone
(832) 325-7080
Fax
(713) 512-2239
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N4777 TX
Clinical Neurophysiology Physician 2084N0600X N4777 TX Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X N4777 TX
Epilepsy Physician 2084E0001X N4777 TX

Addresses

Primary practice location

6410 Fannin St Ste 1014
Houston, TX 77030-5301

Mailing address

6431 Fannin St
MSB 7.044
Houston, TX 77030-1501
Phone (713) 500-7117

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
I20120522001122 TX Practitioner - Neurology 1759544133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

11920 Astoria Blvd
Suite 292
Houston, TX 77089-6155
Phone (713) 486-7970

1333 Moursund St
Houston, TX 77030-3405
Phone (713) 797-5942

17520 W Grand Pkwy S
Suite 450
Sugar Land, TX 77479-4983
Phone (713) 486-7780

21720 Kingsland Blvd
Suite 102
Katy, TX 77450-2551
Phone (713) 512-6040

23900 Katy Fwy
Katy, TX 77494-1323
Phone (281) 644-7000

23923 Cinco Ranch Blvd
Katy, TX 77494-3399
Phone (713) 486-8876

6410 Fannin St
Suite 1020
Houston, TX 77030-3000
Phone (713) 486-8000

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4777TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 1, 2020 Accepting new patients
Ut Physicians Neurology CurrentSince Feb 25, 2017 Accepting new patients
Ut Physicians CurrentSince Feb 25, 2017 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

1333 Moursund St
Fl 1
Houston, TX 77030

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

6410 Fannin St
Ste 1014
Houston, TX 77030
Phone (713) 500-7100

6431 Fannin St
#7044
Houston, TX 77030
Phone (713) 500-7100

23923 Cinco Ranch Blvd
Katy, TX 77494
Phone (713) 486-5300

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

17520 W Grand Pkwy S
Ste 450
Sugar Land, TX 77479
Phone (713) 486-7780

Interoperability endpoints

  • Direct secure messaging: sudhas.tallavajhula@direct.memorialhermann.org
  • Direct secure messaging: stallavajhula60262@memorialhermann.direct-ci.com

Organizations & group practices 3

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1851595441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB 7.044",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7117",
            "fax_number": "713-500-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 1014",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305301",
            "telephone_number": "832-325-7080",
            "fax_number": "713-512-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLAVAJHULA",
        "first_name": "SUDHA",
        "middle_name": "SUDHAKAR",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N4777",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "N4777",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "N4777",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TX",
            "license": "N4777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.