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DR. KANIKA ALAKE BOWEN-JALLOW MD
NPI 1760686364
Surgery - Pediatric Surgery in Prosper, TX

Active since June 14, 2007PECOS Enrolled
4200 W UNIVERSITY DR, PROSPER, TX 75078(682) 303-4200 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Kanika Alake Bowen-jallow Md NPPES

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

DR. KANIKA ALAKE BOWEN-JALLOW MD (NPI 1760686364) is an individual pediatric surgery provider in Prosper, Texas, licensed in Texas (N3512) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Galveston.

NPPES Registry Identity

NPI1760686364
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KANIKA ALAKE BOWEN-JALLOWCredential: MD
Location Address4200 W UNIVERSITY DRProsper, TX 75078-9805
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(682) 303-4200
Sole ProprietorNo
Enumeration DateJune 14, 2007
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1760686364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in TX · N3512
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
4200 W UNIVERSITY DR, Prosper, TX 75078
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Secondary Practice Location 1

Location 1301 University Blvd, 3.220Galveston, TX 77555-5302 · Phone (409) 772-5556

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kanika Alake Bowen-jallow Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kanika Bowen-jallow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook Children's Physician Network
48 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483
Utmb Faculty Group Practice
293 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KARI MILCH PA-C
Physician Assistant
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ALLISON SULLIVAN APRN, FNP-C
Nurse Practitioner (Family)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
JOHN MARION ROBERTSON MD
Pediatrics (Pediatric Pulmonology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
LAQUATRE R. RHODES DO, MS
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
CARLY LEWIS M.S., R.D., L.D.
Dietitian, Registered (Nutrition, Pediatric)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ABDUL HAFEEZ SIDDIQUI MD
Pediatrics (Pediatric Hematology-Oncology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
ANTHONY OMOKHEOWA ANANI MD, MPH, MBA
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200
MADISON KIDS RN
Registered Nurse
4200 W UNIVERSITY DR
PROSPER, TX 75078
Collin County (682) 303-4200

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 Kanika Bowen-jallow's NPI number?

The NPI number for Kanika Bowen-jallow is 1760686364. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Kanika Bowen-jallow located?

Kanika Bowen-jallow practices at 4200 W University Dr, Prosper, TX 75078. The listed phone number is (682) 303-4200.

What is Kanika Bowen-jallow's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kanika Bowen-jallow enrolled in Medicare?

Yes. Kanika Bowen-jallow is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kanika Bowen-jallow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanika Bowen-jallow reassigns Medicare benefits to 2 organizations: Cook Children's Physician Network (Fort Worth, TX) and Utmb Faculty Group Practice (Galveston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kanika Bowen-jallow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanika Bowen-jallow accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Kanika Bowen-jallow 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.

When was this NPI record last updated?

The NPPES record for Kanika Bowen-jallow was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.