NPIMap

Organization Active NPI

Suncoast Medical Group Inc

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1376810341
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
N2360 Issued in TX
Legal business name
SUNCOAST MEDICAL GROUP INC
Practice address
8314 Southwest Fwy
Houston, TX 77074-1603
Phone
(713) 541-0095
NPI assigned
Nov 19, 2011
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Onyinye Agim, M.D.NPI 1518121532
Title
Physician / Owner
Phone
(713) 541-0095

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
Primary Care Clinic/Center 261QP2300X N2360 TX Primary

Addresses

Primary practice location

8314 Southwest Fwy
Houston, TX 77074-1603

Mailing address

8314 Southwest Fwy
Houston, TX 77074-1603
Phone (713) 541-0095

Other identifiers 1

IdentifierTypeStateIssuer
3074858MedicaidTX

Other names 1

  • SunCoast Medical Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000556 TX Part B Supplier - Clinic/Group Practice 4789846718 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7330 Southwest Fwy
Ste A
Houston, TX 77074
Phone (713) 541-0095

8314 Southwest Fwy
Houston, TX 77074
Phone (713) 522-7002

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1376810341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8314 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741603",
            "telephone_number": "713-541-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741603",
            "telephone_number": "713-541-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "AGIM",
        "authorized_official_first_name": "ONYINYE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "713-541-0095",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074858",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunCoast Medical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 24, 2016; 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.