Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Fomulu, MD

Individual provider Internal Medicine Physician · NPI 1700376373

Dr. Kenneth Fomulu, MD is a Hospitalist in Houston, Texas. Qualified in 2018, 8 years ago. Practices with UT Physicians, a 1,732-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Texas.

Years since qualifying
8
Licensed in
KY, TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6411 Fannin St
Houston, TX 77030-1501
Phone: (713) 500-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831 — (502) 629-5552
  • 1005 Dr. D.B Todd Jr. Blvd, Nashville, TN 37208 — (615) 327-6611

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence V6170 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 56277 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700376373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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