Organization Active NPI

Harish N. Thakkar M.D.

  • Primary Care Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1235312901
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K1096 Issued in TX
Legal business name
HARISH N. THAKKAR M.D.
Practice address
16959 Southwest Fwy Ste 200
Sugar Land, TX 77479-3481
Phone
(281) 903-7019
Fax
(832) 886-4729
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Dr. Harish N Thakkar, M.D.NPI 1053410910
Title
President
Phone
(281) 903-7019

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K1096 TX Primary

Addresses

Primary practice location

16959 Southwest Fwy Ste 200
Sugar Land, TX 77479-3481

Mailing address

P.O. Box 11124
Belfast, ME 04915-4002
Phone (281) 933-9304

Other names 1

  • Southwest Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000049 TX Part B Supplier - Clinic/Group Practice 6709901036 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2065434Southwest Medical Clinic16959 Southwest Fwy, Ste 200, Sugar Land, TX 77479Certificate of waiverSep 8, 2027

National Provider Directory

National Provider Directory

Locations

9220 Highway 6 S
Ste E
Houston, TX 77083
Phone (281) 933-9304

16959 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 933-9304

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4667/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1235312901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11124",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154002",
            "telephone_number": "281-933-9304",
            "fax_number": "281-933-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16959 SOUTHWEST FWY STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793481",
            "telephone_number": "281-903-7019",
            "fax_number": "832-886-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARISH N. THAKKAR M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "HARISH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-903-7019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.