Individual provider Active NPI

Kumar Manian Saran, M.D.

  • Internal Medicine Physician
  • Bellaire, TX
National Provider Identifier
1215090592
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7607 Issued in TX
Practice address
4505 Mimosa Dr
Bellaire, TX 77401-5801
Phone
(713) 662-2775
Fax
(866) 897-7809
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K7607 TX Primary

Addresses

Primary practice location

4505 Mimosa Dr
Bellaire, TX 77401-5801

Mailing address

4505 Mimosa Dr
Bellaire, TX 77401-5801
Phone (713) 662-2775

Other identifiers 1

IdentifierTypeStateIssuer
145432401MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
K7607TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1215090592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 MIMOSA DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774015801",
            "telephone_number": "713-662-2775",
            "fax_number": "866-897-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 MIMOSA DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774015801",
            "telephone_number": "713-662-2775",
            "fax_number": "866-897-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAN",
        "first_name": "KUMAR",
        "middle_name": "MANIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145432401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.