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DR. SUJESH SATHYAN PILLAI MD
NPI 1497947071
Hospitalist in The Woodlands, TX

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment
17201 INTERSTATE 45 S, THE WOODLANDS, TX 77385(936) 270-2099(713) 790-8703 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sujesh Sathyan Pillai Md NPPES

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

DR. SUJESH SATHYAN PILLAI MD (NPI 1497947071) is an individual hospitalist provider in The Woodlands, Texas, licensed in Texas (N4670) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist The Woodlands Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1497947071
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SUJESH SATHYAN PILLAICredential: MD
Location Address17201 INTERSTATE 45 SThe Woodlands, TX 77385-3311
Mailing Address17201 Interstate 45 SThe Woodlands, TX 77385-3311 · (936) 270-2099 · Fax (713) 790-8703
Phone(936) 270-2099
Fax(713) 790-8703
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 16, 2007
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1497947071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · N4670
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 N4670 (TX)
17201 INTERSTATE 45 S, The Woodlands, TX 77385
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Other Identifiers 1

Medicaid1507741LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare 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. Sujesh Sathyan Pillai 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 ID8628265725
PECOS Enrollment IDI20101214001112
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 4

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.
453 services186 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.
147 services144 patients
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.
61 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.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%559 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%291 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$18.21 avg. paid by Medicare
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 suppliers50 claims50 services$99.12 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier38 claims38 services$34.09 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 20

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

DR. SAJEEV SRIDHAR MD
Student in an Organized Health Care Education/Training Program
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000
MR. ALBERT LEE DEDMON JR. APRN
Nurse Practitioner (Acute Care)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2006
MONICA JEANNE ARNELL
Hospitalist
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2099
DR. AHMED R ABDELKARIM M.D.
Hospitalist
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Montgomery County (936) 270-2099
DR. KEROLLOS SHAKER MD
Emergency Medicine
17201 INTERSTATE 45 S
SHENANDOAH, TX 77385
Montgomery County (936) 270-2000
SHAKER EMERGENCY SPECIALISTS, PLLC
Emergency Medicine (Medical Toxicology)
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000
KANISHKA V CHELIKANI
Student in an Organized Health Care Education/Training Program
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 290-1321
KESANY BOUPAPANH
Internal Medicine
17201 INTERSTATE 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2099

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 Sujesh Pillai's NPI number?

The NPI number for Sujesh Pillai is 1497947071. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Sujesh Pillai located?

Sujesh Pillai practices at 17201 Interstate 45 S, The Woodlands, TX 77385. The listed phone number is (936) 270-2099.

What is Sujesh Pillai's specialty?

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

Is Sujesh Pillai enrolled in Medicare?

Yes. Sujesh Pillai 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 Sujesh Pillai accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Sujesh Pillai 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 Sujesh Pillai affiliated with any hospitals?

According to CMS data, Sujesh Pillai is affiliated with Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Sujesh Pillai was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.