Kenneth Fomulu, MD
NPI 1700376373 · Hospitalist Physician · Houston, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Fomulu, MD is a Hospitalist Physician provider in Houston, TX (NPI 1700376373).
Provider details
- NPI number
- 1700376373
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 56277 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
117 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 36 | $200 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 34 | $162 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 28 | $119 |
| Initial Hospital Care With Same-Day Admission and Discharge With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 70 Minutes99235 | 19 | $149 |
Typical Medicare-allowed amounts for these services range $119–$200 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 200 E Chestnut St Bldg Suite303Louisville, KY 40202-1831Phone: (502) 629-5552Fax: (502) 629-3132
- 1005 Dr. D.b Todd Jr. BlvdNashville, TN 37208Phone: (615) 327-6611
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Frequently asked questions
- What is Kenneth Fomulu's NPI number?
- Kenneth Fomulu's National Provider Identifier (NPI) is 1700376373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Fomulu's specialty?
- Kenneth Fomulu is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Fomulu located?
- Kenneth Fomulu's practice location on file with NPPES is 6411 Fannin St, Houston, TX 77030-1501.
- What is Kenneth Fomulu's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Fomulu is (713) 500-7116.
- Does Kenneth Fomulu accept Medicare?
- Kenneth Fomulu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Fomulu's NPI active?
- Yes — Kenneth Fomulu's NPI (1700376373) is active in the NPPES registry as of the last update on 2025-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.