ANTHONY JOSEPH PUTHUMANA MD
NPI 1164955266
Hospitalist in Houston, TX

Q: What is Anthony Puthumana's NPI number?

The NPI number for Anthony Puthumana is 1164955266. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Q: What is Anthony Puthumana's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Puthumana was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment

7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(713) 798-1750(713) 798-4693 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2022, Apr 7, 2022, Mar 8, 2022 and 1 more (4 updates tracked since 2022).

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About Anthony Joseph Puthumana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY JOSEPH PUTHUMANA MD (NPI 1164955266) is an individual hospitalist provider in Houston, Texas, licensed in Texas (T0319) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164955266

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameANTHONY JOSEPH PUTHUMANACredential: MD

Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202

Mailing Address7200 Cambridge St Fl 10Houston, TX 77030-4202 · (713) 798-1750 · Fax (713) 798-4693

Phone(713) 798-1750

Fax(713) 798-4693

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 5, 2017

Last NPPES UpdateOctober 21, 20224 updates tracked since enumeration

NPPES CertifiedOctober 21, 2022

✔ NPI 1164955266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TX · T0319

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License T0319 (TX)

Also ListedPediatricsTaxonomy 208000000X · License T0319 (TX)

7200 CAMBRIDGE ST FL 10, Houston, TX 77030

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Secondary Practice Locations 2

Location 11 Baylor Plz, Baylor College of MedicineHouston, TX 77030-3411 · Phone (713) 798-0104

Location 22727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Joseph Puthumana Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850784232

PECOS Enrollment IDI20220207002401

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Anthony Puthumana reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine

Same address

Medical Genetics, Ph.D. Medical Genetics

7200 CAMBRIDGE ST FL 10
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,554 clinicians in this Medicare group

NPI 1881026664 (713) 798-0000

Kelsey-Seybold Medical Group, PLLC

1.7 mi

Multi-Specialty

2727 W HOLCOMBE BLVD
Houston, TX 77025

Reassigned Medicare billing, Texas enrollment
1,649 clinicians in this Medicare group

NPI 1013915255 (713) 442-0000

Memorial Hermann Medical Group

29 mi

Family Medicine

6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441

Reassigned Medicare billing, Texas enrollment
1,235 clinicians in this Medicare group

NPI 1003985102 (832) 658-5750

North Texas Physician Services, PLLC

197 mi

Internal Medicine

700 E MARSHALL AVE
Longview, TX 75601

Reassigned Medicare billing, Texas enrollment
334 clinicians in this Medicare group

NPI 1992586150 (903) 315-2000

Quantum Bay Area Hospitalist Medical Group Inc

1,622 mi

Hospitalist

2500 GRANT RD
Mountain View, CA 94040

Reassigned Medicare billing, California enrollment
217 clinicians in this Medicare group

NPI 1902279656 (650) 940-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

30 services16 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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