Organization Active NPI

Lifetime Primary Care

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1174252282
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFETIME PRIMARY CARE
Practice address
16645 W Airport Blvd
Sugar Land, TX 77498
Phone
(346) 287-4512
Fax
(832) 308-1272
NPI assigned
Jun 6, 2022
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Misbah Kalair, MDNPI 1134477219
Title
Provider
Phone
(346) 287-4512

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 Physician 207Q00000X NU Primary

Addresses

Primary practice location

16645 W Airport Blvd
Sugar Land, TX 77498

Mailing address

16645 W Airport Blvd
Sugar Land, TX 77498
Phone (346) 287-4512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221005000524 TX Part B Supplier - Clinic/Group Practice 0749660454 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
45D2269109Lifetime Primary Care LLC16645 W Airport Blvd, Sugar Land, TX 77498Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Locations

16645 W Airport Blvd
Sugar Land, TX 77498
Phone (281) 313-0662

16645 W Airport Blvd
Sugar Land, TX 77498
Phone (281) 313-0662

Practitioners & affiliated clinicians

Practitioners 1

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": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1174252282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77498",
            "telephone_number": "346-287-4512",
            "fax_number": "832-308-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77498",
            "telephone_number": "346-287-4512",
            "fax_number": "832-308-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "KALAIR",
        "authorized_official_first_name": "MISBAH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "346-287-4512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Jun 6, 2022; 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.