Organization Active NPI

Sugar Land Family Healthcare ,P.a.

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1043446990
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F4475 Issued in TX
Legal business name
SUGAR LAND FAMILY HEALTHCARE ,P.A.
Practice address
15200 Southwest Fwy Ste 100
Sugar Land, TX 77478-3863
Phone
(281) 250-0816
NPI assigned
Jun 5, 2009
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. Mark Odell Sanders, M.D.NPI 1760417547
Title
President
Phone
(281) 250-0816

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 F4475 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 100
Sugar Land, TX 77478-3863

Mailing address

15200 Southwest Fwy Ste 100
Sugar Land, TX 77478-3863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000652 TX Part B Supplier - Clinic/Group Practice 2466504840 Receives reassigned benefits from 2 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJAHAA

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1043446990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783863",
            "telephone_number": "281-250-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND FAMILY HEALTHCARE ,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-250-0816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4475",
            "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 Mar 23, 2022; 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.