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FORT BEND INTERNAL MEDICINE AND PEDIATRICS, P.A.
NPI 1477604775
Internal Medicine in Missouri City, TX

Active since January 15, 2007
4646 RIVERSTONE BLVD, MISSOURI CITY, TX 77459(281) 208-1908 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Bend Internal Medicine And Pediatrics, P.a. NPPES

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

FORT BEND INTERNAL MEDICINE AND PEDIATRICS, P.A. (NPI 1477604775) is a healthcare organization registered as an internal medicine in Missouri City, Texas and active in the NPI registry since January 2007. The organization lists Hari Krishna Susarla, Physician, as its authorized official.

NPPES Registry Identity

NPI1477604775
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT BEND INTERNAL MEDICINE AND PEDIATRICS, P.A.
Location Address4646 RIVERSTONE BLVDMissouri City, TX 77459-6141
Mailing AddressPo Box 17295Sugar Land, TX 77496-7295 · (281) 208-1908 · Fax (281) 208-1930
Phone(281) 208-1908
Organization SubpartNo
Authorized OfficialHari Krishna SusarlaPhysician · (281) 208-1908
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 25, 2008
✔ NPI 1477604775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L7205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License L7205 (TX)
4646 RIVERSTONE BLVD, Missouri City, TX 77459
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Other Identifiers 4

Medicare ID-Type Unspecified00X519TX · Harris County Ptan #
Medicare PIN00X518TX
Medicare ID-Type Unspecified00X518TX · Fort Bend Cty Group Ptan#
Other0094PDTX · Bc Bs Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

FORT BEND CHILDREN'S CLINIC
Clinic/Center
4646 RIVERSTONE BLVD
MISSOURI CITY, TX 77459
Fort Bend County (281) 499-1855

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 Fort Bend Internal Medicine And Pediatrics, P.A.'s NPI number?

The NPI number for Fort Bend Internal Medicine And Pediatrics, P.A. is 1477604775. It was assigned to this organization in the NPPES registry on January 15, 2007.

Where is Fort Bend Internal Medicine And Pediatrics, P.A. located?

Fort Bend Internal Medicine And Pediatrics, P.A. is located at 4646 Riverstone Blvd, Missouri City, TX 77459. The listed phone number is (281) 208-1908.

What is Fort Bend Internal Medicine And Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fort Bend Internal Medicine And Pediatrics, P.A. was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.