PRAHLAD SUNIL MD
NPI 1609118827
Hospitalist in The Woodlands, TX

Q: What is Prahlad Sunil's NPI number?

The NPI number for Prahlad Sunil is 1609118827. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Q: What is Prahlad Sunil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prahlad Sunil was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment

17201 I 45 S, THE WOODLANDS, TX 77385(936) 270-2099 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 2, 2026, Jul 26, 2024, Nov 7, 2018 and 1 more (4 updates tracked since 2016).

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About Prahlad Sunil Md NPPES

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

PRAHLAD SUNIL MD (NPI 1609118827) is an individual hospitalist provider in The Woodlands, Texas, licensed in Texas (U2021) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609118827

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NamePRAHLAD SUNILCredential: MD

Location Address17201 I 45 SThe Woodlands, TX 77385-3311

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(936) 270-2099

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 26, 2013

Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1609118827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in TX · U2021✔ Licensed in FL · ME127822

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 ME127822 (FL), U2021 (TX)

17201 I 45 S, The Woodlands, TX 77385

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Secondary Practice Locations 2

Location 118951 N Memorial DrHumble, TX 77338-4217 · Phone (713) 338-5616 · Fax (713) 704-3086

Location 22727 W Holcombe BlvdHouston, TX 77025-1669 · Phone (713) 442-0000

Other Identifiers 4

OtherIO479ZFL · Medicare

OtherME127822FL · Medical License

Medicaid017250100FL

OtherM0KQ0FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Prahlad Sunil 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 ID5799075529

PECOS Enrollment IDI20230516003275, I20250904001334

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.

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.

182 services177 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

54 services54 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340013

Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County

Emergency services Birthing friendly

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.

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.

JENNIFER SQUYRES

Pharmacist

17201 I 45 S
THE WOODLANDS, TX 77385

Montgomery County (936) 270-2700

DR. CAITLIN LABAY PHARMD

Pharmacist

17201 I 45 S
THE WOODLANDS, TX 77385

Montgomery County (936) 270-2221

ALEXANDRIA DANIEL ALLEN M.D.

Hospitalist

17201 I 45 S
SHENANDOAH, TX 77385

Montgomery County (936) 270-2099

CHI KHANH DO PHARMD

Pharmacist (Pharmacotherapy)

17201 I 45 S
THE WOODLANDS, TX 77385

Montgomery County (936) 270-2000

BRENDA DANIELLE HENSON

Registered Nurse (Medical-Surgical)

17201 I 45 S
SHENANDOAH, TX 77385

Montgomery County (936) 270-2000

OSAMA FALEH ODEH MD

Student in an Organized Health Care Education/Training Program

17201 I 45 S
THE WOODLANDS, TX 77385

Montgomery County (936) 270-2000

JORDAN GONZALES ATC, LAT

Specialist/Technologist (Athletic Trainer)

17201 I 45 S
THE WOODLANDS, TX 77385

Montgomery County (936) 270-2000

GEORGIA S WOOLERY NP

Nurse Practitioner (Psychiatric/Mental Health)

17201 I 45 S
SHENANDOAH, TX 77385

Montgomery County (281) 836-2100

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 Prahlad Sunil's NPI number?

The NPI number for Prahlad Sunil is 1609118827. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Prahlad Sunil located?

Prahlad Sunil practices at 17201 I 45 S, The Woodlands, TX 77385. The listed phone number is (936) 270-2099.

What is Prahlad Sunil's specialty?

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

Is Prahlad Sunil enrolled in Medicare?

Yes. Prahlad Sunil 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 Prahlad Sunil accept?

Health plans from Oscar Insurance Company list Prahlad Sunil 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 Prahlad Sunil affiliated with any hospitals?

According to CMS data, Prahlad Sunil is affiliated with Rutherford Regional Medical Center and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Prahlad Sunil was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.