Individual provider Active NPI

Christopher Grady Mariano Jr., DO

  • Sports Medicine (Family Medicine) Physician
  • Sugar Land, TX
National Provider Identifier
1134701154
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
W0958 Issued in TX
Practice address
800 Bonaventure Way Ste 119
Sugar Land, TX 77479-8005
Phone
(832) 730-7246
Fax
(844) 302-5696
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X W0958 TX Primary

Addresses

Primary practice location

800 Bonaventure Way Ste 119
Sugar Land, TX 77479-8005

Mailing address

800 Bonaventure Way Ste 119
Sugar Land, TX 77479-8005
Phone (832) 730-7246

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000835 TX Practitioner - Sports MedicinePractitioner - Family Practice 1759785447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pain Centers, PLLCGroup PAC ID 1759609456, 3 clinicians

Practice addresses (Care Compare)

800 Bonaventure Way
Suite 119
Sugar Land, TX 77479-8005
Phone (832) 730-7246

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sindhura Gogineni PLLC CurrentSince Sep 8, 2025 Accepting new patients
Texas Pain Centers PLLC Sports Medicine CurrentSince Sep 8, 2025 Accepting new patients

Locations

800 Bonaventure Way
Ste 119
Sugar Land, TX 77479
Phone (281) 688-9728

3519 Town Center Blvd S
Ste B
Sugar Land, TX 77479
Phone (281) 277-3300

Interoperability endpoints

  • Direct secure messaging: cmariano32370@texasamuniversity.gardenplot.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICHEBA
  • Direct secure messaging: cmariano47018@memorialhermann.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1134701154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 119",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798005",
            "telephone_number": "832-730-7246",
            "fax_number": "844-302-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BONAVENTURE WAY STE 119",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798005",
            "telephone_number": "832-730-7246",
            "fax_number": "844-302-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "CHRISTOPHER",
        "middle_name": "GRADY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "W0958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.