Organization Active NPI

Sugar Land Med Ped Clinic, P.a.

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1124140900
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H7389 Issued in TX
Legal business name
SUGAR LAND MED PED CLINIC, P.A.
Practice address
3533 Town Center Blvd S
# 100
Sugar Land, TX 77479-1454
Phone
(281) 491-2555
Fax
(281) 491-2554
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Subodh Bhuchar, M.D.NPI 1629082417
Title
Physician Owner
Phone
(281) 491-2555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H7389 TX Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X H7389 TX

Addresses

Primary practice location

3533 Town Center Blvd S
# 100
Sugar Land, TX 77479-1454

Mailing address

3533 Town Center Blvd S
# 100
Sugar Land, TX 77479-1454
Phone (281) 491-2555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000972 TX Part B Supplier - Clinic/Group Practice 8820017015 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, 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
45D0979810Sugar Land Med - Ped Clinic, PA3533 Town Center Blvd South, Sugar Land, TX 77479Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

3533 Town Center Blvd S
Ste 100
Sugar Land, TX 77479
Phone (281) 491-2555

3533 Town Center Blvd S
#10
Sugar Land, TX 77479
Phone (281) 491-2555

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1124140900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 TOWN CENTER BLVD S",
            "address_2": "# 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791454",
            "telephone_number": "281-491-2555",
            "fax_number": "281-491-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 TOWN CENTER BLVD S",
            "address_2": "# 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791454",
            "telephone_number": "281-491-2555",
            "fax_number": "281-491-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND MED PED CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "BHUCHAR",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "281-491-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H7389",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H7389",
            "primary": false
        }
    ],
    "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 Nov 5, 2007; 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.