Organization Active NPI

Spartans EMS LLC

  • Ambulance
  • Missouri City, TX
National Provider Identifier
1194464552
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SPARTANS EMS LLC
Practice address
2440 Texas Pkwy Ste 304F
Missouri City, TX 77489-4000
Phone
(832) 807-0928
Fax
(866) 638-5742
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Mr. Raed A BasalatNPI 1356018907
Title
Ceo
Phone
(832) 807-0928

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

2440 Texas Pkwy Ste 304F
Missouri City, TX 77489-4000

Mailing address

PO Box 570964
Houston, TX 77257-0964
Phone (832) 807-0928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221017001315 TX Part B Supplier - Ambulance Service Supplier 4284000290 Practice locations: Missouri City, TX

National Provider Directory

National Provider Directory

Locations

2440 Texas Pkwy
Ste 340F
Missouri City, TX 77489
Phone (832) 807-0928

2440 Texas Pkwy
Ste 304F
Missouri City, TX 77489
Phone (832) 807-0928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1194464552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570964",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772570964",
            "telephone_number": "832-807-0928",
            "fax_number": "866-638-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 TEXAS PKWY STE 304F",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894000",
            "telephone_number": "832-807-0928",
            "fax_number": "866-638-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANS EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "BASALAT",
        "authorized_official_first_name": "RAED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-807-0928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.

Verify at the official NPI Registry.