Colony Internal Medicine Associates, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L3205 Issued in TX

Legal business name

COLONY INTERNAL MEDICINE ASSOCIATES, PA

Practice address

16651 Southwest Fwy Ste 330
Sugar Land, TX 77479-2348

Phone

(281) 265-4168

Fax

(281) 265-1512

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Xun Zhao, MDNPI 1598735441

Title

President

Phone

(281) 265-4168

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Xun Zhao, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1598735441
  Medicare reassignment NPD Authorized official
• Imran Taj Mohiuddin, M.D.

  • Vascular Surgery Physician
  • Sugar Land, TX
  • NPI 1710912464
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1386673465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FWY STE 330",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792348",
            "telephone_number": "281-265-4168",
            "fax_number": "281-265-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FWY STE 330",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792348",
            "telephone_number": "281-265-4168",
            "fax_number": "281-265-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "XUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-265-4168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Maria Collins, M.D.
• Stella Collins, RPH
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• Colony Heart Center, P.a.
• Tarana T Colvin, LPCA, LMFT
• Comcare Health Services, LLC
• Comfort Care Services Inc.
• Comfort Dental Care, P.C.
• Communication Enhancement

• Internal Medicine Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.