NPIMap

Organization Active NPI

Star Primary Care,PA

  • Internal Medicine Physician
  • Pearland, TX
National Provider Identifier
1326220088
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L5866 Issued in TX
Legal business name
STAR PRIMARY CARE,PA
Practice address
6516 Broadway St
Suite 108
Pearland, TX 77581-7880
Phone
(281) 485-6322
Fax
(281) 485-6306
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Jayendra K Patel, M.D.
Title
President
Phone
(281) 485-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L5866 TX Primary

Addresses

Primary practice location

6516 Broadway St
Suite 108
Pearland, TX 77581-7880

Mailing address

2914 Wickwood Dr
Pearland, TX 77584-5982
Phone (281) 485-6322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1326220088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 WICKWOOD DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845982",
            "telephone_number": "281-485-6322",
            "fax_number": "281-485-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 BROADWAY ST",
            "address_2": "SUITE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817880",
            "telephone_number": "281-485-6322",
            "fax_number": "281-485-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PRIMARY CARE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-485-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.