Individual provider Active NPI

Preethi Durgam, D.O.

  • Neurology Physician
  • Tomball, TX
National Provider Identifier
1982929253
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
Q5395 Issued in TX
Practice address
455 School St Ste 20
Tomball, TX 77375-4597
Phone
(281) 357-5678
Fax
(281) 357-8765
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X Q5395 TX
Neurology Physician 2084N0400X Q5395 TX Primary

Addresses

Primary practice location

455 School St Ste 20
Tomball, TX 77375-4597

Mailing address

455 School St Ste 20
Tomball, TX 77375-4597
Phone (281) 357-5678

Other practice location 1

21216 Northwest Fwy Ste 680
Cypress, TX 77429-4697
Phone (281) 357-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150922001982 TX Practitioner - Neurology 4486961547 Reassigns benefits to 2 organizations
I20241120004057 SD Practitioner - Neurology 4486961547 Reassigns benefits to 1 organization
I20250701003589 TN Practitioner - Neurology 4486961547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Northwest Houston Neurology, P aGroup PAC ID 2466345947, 3 clinicians

Practice addresses (Care Compare)

Chancellor, SD 57015
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

Austin, TX 78704
Phone (972) 449-0540

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (972) 449-0540

11113 Research Blvd
Austin, TX 78759-5236
Phone (972) 449-0540

1201 Hill Rd
Smithville, TX 78957-9533
Phone (972) 449-0540

130 Hays St
Luling, TX 78648-3207
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (942) 449-0540

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

1700 E Saunders St
Laredo, TX 78041-5474
Phone (972) 449-0540

1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (972) 449-0540

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (972) 449-0540

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (972) 449-0540

305 S State St
Aberdeen, SD 57401-4527
Phone (972) 449-0540

3201 W
Suite 22
Corsicana, TX 75110-2450
Phone (972) 449-0540

413 9TH St
Britton, SD 57430-2274
Phone (972) 449-0540

455 School St
Suite 20
Tomball, TX 77375-4597
Phone (281) 357-5678

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (972) 449-0540

501 Summit St
Yankton, SD 57078-3855
Phone (972) 449-0540

506 E San Antonio St
Victoria, TX 77901-6060
Phone (972) 449-0540

525 N Foster St
Mitchell, SD 57301-2966
Phone (972) 449-0540

Hospital & facility affiliations

  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5395TXMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Houston Neurology, PA Specialist CurrentSince Oct 5, 2015 Accepting new patients
Access Telecare, PLLC Neurology CurrentSince Feb 2, 2023 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

21212 Northwest Fwy
Ste 455
Cypress, TX 77429
Phone (281) 357-5678

21216 Northwest Fwy
Ste 680
Cypress, TX 77429
Phone (281) 357-5678

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

455 School St
Ste 20
Tomball, TX 77375
Phone (281) 357-5678

Interoperability endpoints

  • Direct secure messaging: preethi.durgam@nwhn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJADA

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1982929253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 20",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754597",
            "telephone_number": "281-357-5678",
            "fax_number": "281-357-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 20",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754597",
            "telephone_number": "281-357-5678",
            "fax_number": "281-357-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21216 Northwest Fwy Ste 680",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774294697",
            "country_code": "US",
            "telephone_number": "281-357-5678",
            "fax_number": "281-357-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURGAM",
        "first_name": "PREETHI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TX",
            "license": "Q5395",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.