Organization Active NPI

Sadia Yasser MD PA

  • Neurology Physician
  • Katy, TX
National Provider Identifier
1235497413
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N3398 Issued in TX
Legal business name
SADIA YASSER MD PA
Practice address
777 South Fry Road
Suite 108
Katy, TX 77450-2297
Phone
(281) 398-9711
Fax
(281) 398-9641
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Francisco Javier Rodriguez, CMOM CMIS CMC
Title
Administrator
Phone
(281) 398-9711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X N3398 TX Primary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X N3398 TX

Addresses

Primary practice location

777 South Fry Road
Suite 108
Katy, TX 77450-2297

Mailing address

777 South Fry Road
Suite 108
Katy, TX 77450-2297
Phone (281) 398-9711

Other identifiers 5

IdentifierTypeStateIssuer
3276516OtherTXUNITED HEALTHCARE
N3398OtherTXTX MEDICAL LICENSE
9160516OtherTXAETNA INSURANCE
8CL379OtherTXBCBS OF TX
6488224OtherTXCIGNA INSURANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120726000245 TX Part B Supplier - Clinic/Group Practice 9133385735 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

633 E Fernhurst Dr
Ste 1403
Katy, TX 77450
Phone (281) 398-9711

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1235497413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SOUTH FRY ROAD",
            "address_2": "SUITE 108",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502297",
            "telephone_number": "281-398-9711",
            "fax_number": "281-398-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SOUTH FRY ROAD",
            "address_2": "SUITE 108",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502297",
            "telephone_number": "281-398-9711",
            "fax_number": "281-398-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADIA YASSER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-398-9711",
        "authorized_official_credential": "CMOM CMIS CMC"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N3398",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "N3398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3276516",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "N3398",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "9160516",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8CL379",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "6488224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.