DR. SOWMYA PUTHALAPATTU M.D
NPI 1316188519
Internal Medicine - Nephrology in Humble, TX

Q: What is Sowmya Puthalapattu's NPI number?

The NPI number for Sowmya Puthalapattu is 1316188519. It was assigned to this individual provider in the NPPES registry on March 18, 2009.

Q: What is Sowmya Puthalapattu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 18, 2009PECOS EnrolledAccepts Medicare Assignment

25.63/100

CMS Quality Rating

19502 MCKAY BLVD, SUITE- 200, HUMBLE, TX 77338(281) 540-8779(281) 540-8798 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sowmya Puthalapattu M.d NPPES

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

DR. SOWMYA PUTHALAPATTU M.D (NPI 1316188519) is an individual nephrology provider in Humble, Texas, licensed in Texas (N1841) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1316188519

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SOWMYA PUTHALAPATTUCredential: M.D

Location Address19502 MCKAY BLVD, SUITE- 200Humble, TX 77338-5707

Mailing Address201 Kingwood Medical Dr, Ste B200Kingwood, TX 77339-6016 · (281) 401-9540

Phone(281) 540-8779

Fax(281) 540-8798

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMarch 18, 2009

Last NPPES UpdateOctober 17, 2017

✔ NPI 1316188519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · N1841

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License N1841 (TX)

19502 MCKAY BLVD, Humble, TX 77338

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sowmya Puthalapattu M.d 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 ID3678613080

PECOS Enrollment IDI20091216000096

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.

Areas of Expertise CMS Part B claims 11

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,766 services260 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

340 services131 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

241 services187 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

193 services51 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

159 services56 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

98 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

85 services76 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

67 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

38 services38 patients

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.

23 services19 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.

22 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450684

Location18951 Memorial NorthHumble, TX 77338 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450775

Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77338 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

25.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

32.34

Improvement Activities

Cost

17.38

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$64.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

KINGWOOD SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

19502 MCKAY BLVD, SUITE 101
HUMBLE, TX 77338

Harris County (281) 312-6900

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 Sowmya Puthalapattu's NPI number?

The NPI number for Sowmya Puthalapattu is 1316188519. It was assigned to this individual provider in the NPPES registry on March 18, 2009.

Where is Sowmya Puthalapattu located?

Sowmya Puthalapattu practices at 19502 Mckay Blvd Suite- 200, Humble, TX 77338. The listed phone number is (281) 540-8779.

What is Sowmya Puthalapattu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sowmya Puthalapattu enrolled in Medicare?

Yes. Sowmya Puthalapattu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sowmya Puthalapattu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sowmya Puthalapattu 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.

Is Sowmya Puthalapattu affiliated with any hospitals?

According to CMS data, Sowmya Puthalapattu is affiliated with Memorial Hermann Northeast Hospital and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Sowmya Puthalapattu was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.