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: August 02, 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
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

Secondary Practice Location 1

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

Accepted 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. 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.

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.

Physician Assistant
4200 W UNIVERSITY DR
PROSPER, TX 75078
Nurse Practitioner (Family)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Pulmonology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Dietitian, Registered (Nutrition, Pediatric)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Hematology-Oncology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Pediatrics (Pediatric Gastroenterology)
4200 W UNIVERSITY DR
PROSPER, TX 75078
Registered Nurse
4200 W UNIVERSITY DR
PROSPER, TX 75078

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.

What insurance does Kanika Bowen-jallow accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas 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.