Individual provider Active NPI

Srinivas G Nikam, M.D.

  • Cardiovascular Disease Physician
  • Sugar Land, TX
National Provider Identifier
1184794141
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F6294 Issued in TX
Practice address
3533 Town Center Blvd S Ste 400
Sugar Land, TX 77479-1456
Phone
(281) 265-7567
Fax
(281) 265-4565
NPI assigned
Nov 8, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F6294 TX Primary

Addresses

Primary practice location

3533 Town Center Blvd S Ste 400
Sugar Land, TX 77479-1456

Mailing address

3533 Town Center Blvd S Ste 400
Sugar Land, TX 77479-1456
Phone (281) 265-7567

Other identifiers 2

IdentifierTypeStateIssuer
8C7166MedicaidTX
115485804MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Clinic PastSince Apr 1, 2008 Accepting new patients

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1184794141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 TOWN CENTER BLVD S STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791456",
            "telephone_number": "281-265-7567",
            "fax_number": "281-265-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 TOWN CENTER BLVD S STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791456",
            "telephone_number": "281-265-7567",
            "fax_number": "281-265-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKAM",
        "first_name": "SRINIVAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F6294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8C7166",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115485804",
            "state": "TX"
        }
    ],
    "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 Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.