DR. SOWDHAMINI SHETTIGAR WALLACE D.O. - NPI 1346459542

Q: What is Sowdhamini Wallace's NPI number?

The NPI number for Sowdhamini Wallace is 1346459542. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Dr. Sowdhamini Shettigar D.O..

Q: What is Sowdhamini Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

On this page

About Dr. Sowdhamini Shettigar Wallace D.o. NPPES

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

DR. SOWDHAMINI SHETTIGAR WALLACE D.O. (NPI 1346459542) is an individual pediatrics provider in Houston, Texas, licensed in Texas (N0540) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346459542

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SOWDHAMINI SHETTIGAR WALLACECredential: D.O.

Location Address6621 FANNIN ST STE A210, TEXAS CHILDREN'S HOSPITAL, PEDIATRIC HOSPITAL MEDICINEHouston, TX 77030-2303

Mailing Address9113 Harbor Hills DrHouston, TX 77054-6009 · (440) 554-4093

Phone(713) 839-0492

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateMay 23, 2012

✔ NPI 1346459542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · N0540

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6621 FANNIN ST STE A210, Houston, TX 77030

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Sowdhamini Shettigar D.o.

Other Identifiers 1

Medicare PIN8K8934TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sowdhamini Shettigar Wallace D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

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 9

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

SAAMIA MASOOM

Pediatrics (Pediatric Emergency Medicine)