Organization Active NPI

Octagos Health Inc.

  • Physiological Laboratory
  • Houston, TX
National Provider Identifier
1295387686
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
OCTAGOS HEALTH INC.
Doing business as
Octagos Health Inc.
Practice address
13325 Hargrave Rd Ste 281
Houston, TX 77070-4539
Phone
(281) 769-8733
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Shanti BansalNPI 1659401974
Title
Owner
Phone
(281) 769-8733

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
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

13325 Hargrave Rd Ste 281
Houston, TX 77070-4539

Mailing address

13325 Hargrave Rd Ste 281
Houston, TX 77070-4539

Other names 1

  • Octagos Health Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200320000055 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1759719040 Practice locations: Houston, TX
O20211104001427 NY Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1759719040 Practice locations: Suffern, NY

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
45D2309137Txpllc072221 PLLC D/B/a Gameday Men'S Health13325 Hargrave Road, Suite 290, Houston, TX 77070AccreditationMay 19, 2027

National Provider Directory

National Provider Directory

Locations

400 Rella Blvd
Ste 102
Suffern, NY 10901

13325 Hargrave Rd
Ste 280
Houston, TX 77070
Phone (832) 478-5067

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1295387686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 HARGRAVE RD STE 281",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 HARGRAVE RD STE 281",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704539",
            "telephone_number": "281-769-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAGOS HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-769-8733"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Octagos Health Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.