Organization Active NPI

Sai Medical Group,P.a

  • Family Medicine Physician
  • Bastrop, TX
National Provider Identifier
1023313236
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N7049 Issued in TX
Legal business name
SAI MEDICAL GROUP,P.A
Practice address
201 Childers Dr
Suite# 109
Bastrop, TX 78602-4100
Phone
(512) 321-3430
Fax
(512) 303-5437
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Yamini A Akkanti, M.DNPI 1760659973
Title
Director
Phone
(512) 321-3430

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N7049 TX Primary

Addresses

Primary practice location

201 Childers Dr
Suite# 109
Bastrop, TX 78602-4100

Mailing address

201 Childers Dr
Suite# 109
Bastrop, TX 78602-4100
Phone (512) 321-3430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110803000506 TX Part B Supplier - Clinic/Group Practice 2961671227 Receives reassigned benefits from 1 practitioner
Practice locations: Bastrop, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0933493Sai Medical Group ,PA201 Childers Dr, Suite 109, Bastrop, TX 78602Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

201 Childers Dr
Ste 109
Bastrop, TX 78602
Phone (512) 321-3430

Practitioners & affiliated clinicians

Practitioners 2

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": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1023313236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHILDERS DR",
            "address_2": "SUITE# 109",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024100",
            "telephone_number": "512-321-3430",
            "fax_number": "512-303-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHILDERS DR",
            "address_2": "SUITE# 109",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024100",
            "telephone_number": "512-321-3430",
            "fax_number": "512-303-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI MEDICAL GROUP,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "AKKANTI",
        "authorized_official_first_name": "YAMINI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-321-3430",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.