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ALISARA SUPTUESAT M.D.
NPI 1205922978
Radiology - Diagnostic Radiology in Houston, TX

Active since October 04, 2006
6411 FANNIN, HOUSTON, TX 77030(713) 704-4000 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alisara Suptuesat M.d. NPPES

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

ALISARA SUPTUESAT M.D. (NPI 1205922978) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (42742) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1205922978
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameALISARA SUPTUESATCredential: M.D.
Location Address6411 FANNINHouston, TX 77030
Mailing AddressP O Box 201088Houston, TX 77216-1088 · (713) 500-3500
Phone(713) 704-4000
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateOctober 13, 2009
✔ NPI 1205922978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TX · 42742✔ Licensed in TX · FTL 41869
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6411 FANNIN, Houston, TX 77030
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Other Identifiers 6

Medicare UPINI68851
Medicaid187729201TX
Medicare PIN8J2264TX
Other187729202TX · Cshcn
Other8W2045TX · Bcbs
Medicare PINP00375162TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. RYAN DREY WALSH MD
Emergency Medicine
6411 FANNIN, DEPARTMENT OF EMERGENCY MEDICINE
HOUSTON, TX 77030
Harris County (713) 500-7885
DR. GITANJALI INDRAMOHAN MD
Pediatrics (Pediatric Critical Care Medicine)
6411 FANNIN, CHILDREN'S MEMORIAL HERMANN HOSPITAL
HOUSTON, TX 77030
Harris County (713) 500-6443
MEMORIAL HERMANN HEALTH SYSTEM
Clinic/Center (Ambulatory Surgical)
6411 FANNIN
HOUSTON, TX 77030
Harris County (713) 704-6614
MEMORIAL HERMANN HEALTH SYSTEM
General Acute Care Hospital
6411 FANNIN
HOUSTON, TX 77030
Harris County (713) 704-6614
STEVEN M. READ M.D.
Anesthesiology
6411 FANNIN
HOUSTON, TX 77030
Harris County (713) 704-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisara Suptuesat's NPI number?

The NPI number for Alisara Suptuesat is 1205922978. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Alisara Suptuesat located?

Alisara Suptuesat practices at 6411 Fannin, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is Alisara Suptuesat's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Alisara Suptuesat accept?

Health plans from Blue Cross and Blue Shield of Texas list Alisara Suptuesat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alisara Suptuesat was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.