Organization Active NPI

Saji Mary PA LLC

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1023772548
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAJI MARY PA LLC
Doing business as
EPIC FAMILY CARE
Practice address
2743 Smith Ranch Rd Ste 1001
Pearland, TX 77584-5217
Phone
(832) 400-2291
NPI assigned
Oct 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Authorized official

Name
Mr. Saji Joseph, NPNPI 1215600325
Title
Ceo
Phone
(832) 400-2291

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2743 Smith Ranch Rd Ste 1001
Pearland, TX 77584-5217

Mailing address

2743 Smith Ranch Rd Ste 1001
Pearland, TX 77584-5217
Phone (832) 400-2291

Other names 1

  • EPIC FAMILY CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211201002535 TX Part B Supplier - Clinic/Group Practice 7315337581 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, 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
45D2250990Saji Mary, PA, LLC2743 Smith Ranch Rd, Suite 1001, Pearland, TX 77584Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

2743 Smith Ranch Rd
Ste 10001
Pearland, TX 77584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635552000000",
    "number": "1023772548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 1001",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845217",
            "telephone_number": "832-400-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 1001",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845217",
            "telephone_number": "832-400-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJI MARY PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SAJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-400-2291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPIC FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.