Individual provider Active NPI

Numa Qurbanali, FNP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1023889383
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1137568 Issued in TX
Practice address
4645 Sweetwater Blvd
Sugar Land, TX 77479-3136
Phone
(281) 565-1112
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1137568 TX Primary

Addresses

Primary practice location

4645 Sweetwater Blvd
Sugar Land, TX 77479-3136

Mailing address

5914 Union SPGS
Sugar Land, TX 77479-4173
Phone (832) 618-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240321003810 TX Practitioner - Nurse Practitioner 3678910957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Inpatient Physicians PLLCGroup PAC ID 4183907652, 32 clinicians

Practice addresses (Care Compare)

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (281) 565-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1137568TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Inpatient Physicians, PLLC CurrentSince Feb 7, 2024 Accepting new patients

Locations

4560 FM 1960 Rd W
Ste 101
Houston, TX 77069
Phone (281) 444-0000

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1023889383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 UNION SPGS",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794173",
            "telephone_number": "832-618-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793136",
            "telephone_number": "281-565-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURBANALI",
        "first_name": "NUMA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.