Active NPI
Prestige Medical P a
- Family Medicine Physician
- Manvel, TX
National Provider Identifier
1174654750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L7625
- Legal business name
- PRESTIGE MEDICAL P A
- Practice address
- 3945 County Road 58
Manvel, TX 77578-2903 - Phone
- (281) 412-6606
- Fax
- (281) 489-0233
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeevan R Santha
- Title
- Practice Manager
- Phone
- (281) 923-4112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L7625 | TX | Primary |
Addresses
Primary practice location
3945 County Road 58
Manvel, TX 77578-2903
Mailing address
3945 County Road 58
Manvel, TX 77578-2903
Phone (281) 412-6606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9223 Broadway St
Ste 107
Pearland, TX 77584
Phone (281) 923-4112
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Manvel, TX
- NPI 1982711347
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1720470578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1174654750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 COUNTY ROAD 58",
"city": "MANVEL",
"state": "TX",
"postal_code": "775782903",
"telephone_number": "281-412-6606",
"fax_number": "281-489-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 COUNTY ROAD 58",
"city": "MANVEL",
"state": "TX",
"postal_code": "775782903",
"telephone_number": "281-412-6606",
"fax_number": "281-489-0233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE MEDICAL P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "SANTHA",
"authorized_official_first_name": "JEEVAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "281-923-4112",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L7625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.