Jose Luis Sandoval, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

Q1015 Issued in TX

Practice address

245 W Greens Rd
Houston, TX 77067-4603

Phone

(713) 486-5600

NPI assigned

May 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Texas Southwestern Medical School at Dallas, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care TX PAGroup PAC ID 4789950247, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1033741616
  NPD
• Centerwell Senior Primary Care (TX) PA

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581
  NPD

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1265724637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W GREENS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674603",
            "telephone_number": "713-486-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W GREENS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674603",
            "telephone_number": "713-486-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q1015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Pablo Sandoval Jones, MD
• Luis Arturo Sandoval Martinez, M.D
• Brenda Gissela Sandoval, MD
• Elizabeth Sandoval
• Gabriel E Sandoval, MD
• Kendal Jill Sandoval
• Kerri Michelle Sandoval
• Lucia Dorothy Sandoval, MD
• Marcelo Sandoval, M.D.,
• Norma Sandoval, LPC ASSOCIATE

• Internal Medicine Physician in Houston, TX
• Providers in Houston, 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 May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.