Individual provider Active NPI

Sanford Jay Lubetkin, MD, FACC

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1316950538
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F4225 Issued in TX
Practice address
7737 Southwest Freeway
Suite 780
Houston, TX 77074-1807
Phone
(713) 988-9512
Fax
(713) 988-9515
NPI assigned
Aug 15, 2006
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F4225 TX Primary
Interventional Cardiology Physician 207RI0011X F4225 TX

Addresses

Primary practice location

7737 Southwest Freeway
Suite 780
Houston, TX 77074-1807

Mailing address

909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301
Phone (713) 338-4523

Other identifiers 2

IdentifierTypeStateIssuer
100093701MedicaidTX
060030664OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100204000772 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557426194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology of Houston Cardiovascular Disease Current Accepting new patients
Houston Cardiac Clinic P.a. Cardiovascular Disease CurrentSince Jul 19, 2022 Accepting new patients

Locations

7737 Southwest Fwy
Ste 780
Houston, TX 77074
Phone (713) 988-9512

925 Gessner Rd
Ste 525
Houston, TX 77024
Phone (713) 827-7680

1327 Lake Pointe Pkwy
Ste 525
Sugar Land, TX 77478
Phone (281) 494-2711

Interoperability endpoints

  • Direct secure messaging: sanfordj.lubetkin@direct.memorialhermann.org
  • Direct secure messaging: slubetkin@direct.uspi.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1316950538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR",
            "address_2": "SUITE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-4523",
            "fax_number": "713-338-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FREEWAY",
            "address_2": "SUITE 780",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-988-9512",
            "fax_number": "713-988-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBETKIN",
        "first_name": "SANFORD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F4225",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "F4225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060030664",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.