DR. SUPRATIK KUMAR MOULIK (MD) – Diagnostic Radiology Physician, NPI 1245454693

DR. SUPRATIK KUMAR MOULIK (MD) is a healthcare provider. based in Missouri city, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD438343 (PA). The NPI Number for DR. SUPRATIK KUMAR MOULIK (MD) is 1245454693

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUPRATIK KUMAR MOULIK (MD)
NPI
1245454693
Phone
(512) 680-7346
Address
1706 PEBBLESTONE CT
Enumeration Date
13 April 2007
Last Update Date
15 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
4056028100
Graduation Year
2005 (21 years ago)
PAC ID
1456532001
Group Practice PAC ID
9032205752
Professional Enrollment ID
I20150813009493
Address ID
OK731597900OK3100XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DR. SUPRATIK KUMAR MOULIK (MD)

  • 1706 PEBBLESTONE CT

    MISSOURI CITY, TX 774591617

    Phone: (512) 680-7346

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Aidoc Medical Ltd ($70).

Total Amount

$70

General + Research + Ownership

Payments

1

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Aidoc Medical Ltd$70
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111020000132IDiagnostic RadiologyTXTBD
I20150813009493IDiagnostic RadiologyOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view2,3441,472$0
74177Ct scan of abdomen and pelvis with contrast626615$0
70450Ct scan head or brain without contrast528518$0
74176Ct scan of abdomen and pelvis without contrast397392$0
71275Ct scan of blood vessels of chest with contrast335334$0
View full utilization report →

Insurance plans in this area (ZIP 77459)

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Provider's Procedures

DR. SUPRATIK KUMAR MOULIK (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71250CT scan chest6969
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views3331

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032205752View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyIN
Diagnostic RadiologyTX
Diagnostic Radiology, Interventional RadiologyPA
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

How is DR. SUPRATIK KUMAR MOULIK (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SUPRATIK KUMAR MOULIK (MD) with NPI 1245454693.
Does the file indicate DR. SUPRATIK KUMAR MOULIK (MD) is practicing under active NPI?
Directory data currently reports DR. SUPRATIK KUMAR MOULIK (MD) as active.
What is DR. SUPRATIK KUMAR MOULIK (MD)'s specialty?
The listing groups DR. SUPRATIK KUMAR MOULIK (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SUPRATIK KUMAR MOULIK (MD) on a map?
Expect Missouri City, Texas as a primary anchor for DR. SUPRATIK KUMAR MOULIK (MD) unless the record lists multiple sites.
Why does DR. SUPRATIK KUMAR MOULIK (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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