Prime Medic, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K1393 Issued in TX

Legal business name

PRIME MEDIC, P.A.

Practice address

211 S College Ave
Cleveland, TX 77327-4503

Phone

(281) 592-8622

Fax

(281) 592-8699

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Sreenivasulu Cherlo, M.D.NPI 1578664116

Title

Ceo

Phone

(281) 592-8622

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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

• Sreenivasulu Cherlo, M.D.

  • Internal Medicine Physician
  • Cleveland, TX
  • NPI 1578664116
  Medicare reassignment Care Compare group NPD Authorized official
• Anand Basi, M.D.

  • Internal Medicine Physician
  • Cleveland, TX
  • NPI 1639270291
  Medicare reassignment Care Compare group NPD
• Mary Casebolt, FNP

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1588933774
  Medicare reassignment NPD
• Hemlata Patel, APRN

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1407488547
  Medicare reassignment NPD
• Martin G Perez, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1477693794
  Medicare reassignment NPD
• Andrew C Gold, P.A.

  • Physician Assistant
  • Cleveland, TX
  • NPI 1285956854
  Medicare reassignment
• Ahmed Kabir Qadri, M.D.

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1982701298
  Medicare reassignment

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1255432829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5999",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255999",
            "telephone_number": "281-592-8622",
            "fax_number": "281-592-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S COLLEGE AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274503",
            "telephone_number": "281-592-8622",
            "fax_number": "281-592-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "CHERLO",
        "authorized_official_first_name": "SREENIVASULU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-592-8622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161613801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Premier Cardiovascular Consultants PC
• Prime Medic Network, PLLC
• Privia Medical Group Gulf Coast, PLLC
• R&R Reserve
• Rafael J Delaflor-Weiss, MD PA
• Rajgopal Pakanati MD PA
• Maria Robledo Ramos, MA

• Internal Medicine Physician in Cleveland, TX
• Providers in Cleveland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.