Organization Active NPI

Fort Bend Geriatrics, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
National Provider Identifier
1003838996
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
FORT BEND GERIATRICS, PA
Practice address
15200 Southwest Fwy
Suite 180
Sugar Land, TX 77478-3845
Phone
(281) 491-6767
Fax
(281) 491-6768
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shiva Satish, M.D.NPI 1629099635
Title
President
Phone
(281) 491-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

15200 Southwest Fwy
Suite 180
Sugar Land, TX 77478-3845

Mailing address

15200 Southwest Fwy
Suite 180
Sugar Land, TX 77478-3845
Phone (281) 491-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091117000609 TX Part B Supplier - Clinic/Group Practice 7214075977 Receives reassigned benefits from 4 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

225 Matlage Way
#230
Sugar Land, TX 77478

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1003838996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "SUITE 180",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783845",
            "telephone_number": "281-491-6767",
            "fax_number": "281-491-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "SUITE 180",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783845",
            "telephone_number": "281-491-6767",
            "fax_number": "281-491-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BEND GERIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "SATISH",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-491-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.