Individual provider Active NPI

Jason Sarfo, ACNP

  • Gerontology Nurse Practitioner
  • League City, TX
National Provider Identifier
1194558973
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1171338 Issued in TX
Practice address
2240 Gulf Fwy S
League City, TX 77573-5143
Phone
(409) 772-1011
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1171338 TX Primary
Acute Care Nurse Practitioner 363LA2100X 1171338 TX

Addresses

Primary practice location

2240 Gulf Fwy S
League City, TX 77573-5143

Mailing address

13118 Leisure Cove Dr
Texas City, TX 77568-1427
Phone (832) 215-5210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916004000 TX Practitioner - Nurse Practitioner 6406397587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

1005 Harborside Dr FL
Suite 6
Galveston, TX 77555-0001
Phone (409) 772-0122

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1171338TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Oct 15, 2024 Accepting new patients

Locations

1005 Harborside Dr
Fl 6
Galveston, TX 77555

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

200 Blossom St
Fl 1
Webster, TX 77598
Phone (832) 632-7540

Interoperability endpoints

  • Direct secure messaging: asarfo61457@direct.utmb.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1194558973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 LEISURE COVE DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775681427",
            "telephone_number": "832-215-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GULF FWY S",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735143",
            "telephone_number": "409-772-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARFO",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1171338",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1171338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.