NPIMap

Organization Active NPI

Oakbend Medical Group

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1366480725
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OAKBEND MEDICAL GROUP
Practice address
4911 Sandhill Dr
Sugar Land, TX 77479-5353
Phone
(281) 238-7870
Fax
(281) 633-4985
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Donna Ferguson
Title
Coo
Phone
(281) 238-7870

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

4911 Sandhill Dr
Sugar Land, TX 77479-5353

Mailing address

4911 Sandhill Dr
Sugar Land, TX 77479-5353
Phone (281) 238-7870

Other identifiers 2

IdentifierTypeStateIssuer
080166401MedicaidTX
CG3567OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000741 TX Part B Supplier - Clinic/Group Practice 7517917867 Receives reassigned benefits from 68 practitioners
Practice locations: Richmond, TX; Sugar Land, TX; Wharton, TX

National Provider Directory

National Provider Directory

Locations

6350 Highway 90A
Ste 600
Sugar Land, TX 77498
Phone (281) 265-7000

4907 Sandhill Dr
Sugar Land, TX 77479

10141 US 59 Hwy
Ste E1
Wharton, TX 77488
Phone (979) 358-9410

Practitioners & affiliated clinicians

Practitioners 70

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

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1366480725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 SANDHILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795353",
            "telephone_number": "281-238-7870",
            "fax_number": "281-633-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 SANDHILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795353",
            "telephone_number": "281-238-7870",
            "fax_number": "281-633-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBEND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "281-238-7870"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080166401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3567",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.