Individual provider Active NPI

Anitha R Gowda, MD

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1972534113
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3668 Issued in TX
Practice address
4710 Plato Park Dr
Sugar Land, TX 77479-5372
Phone
(832) 885-2588
Fax
(281) 605-4352
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3668 TX Primary

Addresses

Primary practice location

4710 Plato Park Dr
Sugar Land, TX 77479-5372

Mailing address

4710 Plato Park Dr
Sugar Land, TX 77479-5372
Phone (832) 885-2588

Other names 1

  • Anitha Srikantappa Other 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

Practice roles

OrganizationSpecialtyStatusNew patients
Airline Complete Healthcare of Texas, LTD,LLP Internal Medicine Past Accepting new patients
Hartford Healthcare Laboratories Past Accepting new patients
Prime Care Medical Group P.C. Internal Medicine PastSince Dec 29, 1994 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1972534113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 PLATO PARK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795372",
            "telephone_number": "832-885-2588",
            "fax_number": "281-605-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 PLATO PARK DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795372",
            "telephone_number": "832-885-2588",
            "fax_number": "281-605-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDA",
        "first_name": "ANITHA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITHA",
            "last_name": "SRIKANTAPPA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.