Individual provider Active NPI

Sunita Moonat, MD

  • Gynecology Physician
  • Houston, TX
National Provider Identifier
1871577650
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
E2747 Issued in TX
Practice address
17030 Nanes Dr
Ste 211
Houston, TX 77090-2503
Phone
(281) 440-5925
Fax
(281) 440-3324
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X E2747 TX Primary

Addresses

Primary practice location

17030 Nanes Dr
Ste 211
Houston, TX 77090-2503

Mailing address

17030 Nanes Dr
Ste 211
Houston, TX 77090-2503
Phone (281) 440-5925

Other identifiers 1

IdentifierTypeStateIssuer
035641201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000453 TX Practitioner - Obstetrics/Gynecology 8123217734 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moonat Medical Assoc Inc Gynecology CurrentSince Oct 25, 2010 Accepting new patients

Locations

17030 Nanes Dr
Ste 211
Houston, TX 77090
Phone (281) 440-5925

2950 FM 2920 Rd
Ste 150
Spring, TX 77388
Phone (281) 440-5925

Interoperability endpoints

  • Direct secure messaging: smoonat@direct.uspi.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1871577650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 NANES DR",
            "address_2": "STE 211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "281-440-5925",
            "fax_number": "281-440-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR",
            "address_2": "STE 211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902503",
            "telephone_number": "281-440-5925",
            "fax_number": "281-440-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONAT",
        "first_name": "SUNITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E2747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035641201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.