Sorab Minod Italia, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L0829 Issued in TX

Practice address

12121 Richmond Ave
Ste 121
Houston, TX 77082-2432

Phone

(281) 558-6700

Fax

(281) 558-1741

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Avenue Family Practice Associates PAGroup PAC ID 4880743244, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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

• Richmond Avenue Family Practice Associates PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1811982275
  Medicare reassignment Care Compare group NPD
• Rodom Medical Consulting PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1558380790

  Family Medicine

  Medicare reassignment NPD
• Primary Medicine Center LLC

  • Psychiatry Physician
  • Houston, TX
  • NPI 1063470912

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca West Houston L P

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1275580938
  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1386637767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "STE 121",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-558-6700",
            "fax_number": "281-558-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "STE 121",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-558-6700",
            "fax_number": "281-558-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITALIA",
        "first_name": "SORAB",
        "middle_name": "MINOD",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L0829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146772202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Issy Dental Company
• Pajtim Isufi
• Thomas Geoffrey Iszard, O.D.
• It Takes a Village Mental Health Services
• It Takes a Village Mental Health Services
• Sonalben Laxmanbhai Italiya, MD
• Samuel Paul Orok Itam II, MD
• Anita Itaman
• Aya Itani, MD, MPH
• Mary Ekemini Itauma, APRN, FNP-C

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.