Individual provider Active NPI

Nicholas P Sollenne, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1154308633
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G6760 Issued in TX
Practice address
1701 Sunset Blvd
Houston, TX 77005-1713
Phone
(713) 526-5511
Fax
(713) 520-4755
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G6760 TX Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1713

Mailing address

PO Box 4767
Houston, TX 77210-4767
Phone (713) 526-5511

Other identifiers 1

IdentifierTypeStateIssuer
039333201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000134 TX Practitioner - Internal Medicine 0547344798 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Internal Medicine CurrentSince Jul 1, 1986 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Jul 1, 1986 Accepting new patients

Locations

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

Interoperability endpoints

  • Direct secure messaging: nsollenne40504@direct.houstonmethodist.org

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, 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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1154308633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4767",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104767",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051713",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLENNE",
        "first_name": "NICHOLAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039333201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.