Cecil A. Cherian, M.D.
Individual provider Active NPI Family Medicine Physician · Ruskin, FL
NPI 1396970950 · NPPES record last updated Dec 15, 2016
Key facts
- NPI
- 1396970950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME113498 (FL)
- Practice address
- 781 Cypress Village Blvd
Ruskin, FL 33573-6801 - Phone
- (813) 633-3600
- Fax
- (813) 634-8210
- NPI assigned
- May 26, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston in Patient Physician Associates PLLC
Practice addresses (Care Compare)
4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (713) 777-5334
Hospital & facility affiliations
- Houston Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161205001226 | TX | Practitioner - Family Practice | 1254588627 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113498 | FL | MD | Family Medicine Physician |
| 27027 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovahealth Primary Care, PLLC | Current |
Accepting new patients | |
| Houston in Patient Physician Associates PLLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| The Methodist Hospital | Past | Accepting new patients |
Locations
200 E San Augustine St
Unit 130
Deer Park, TX 77536
4126 Southwest Fwy
Ste 1210
Houston, TX 77027
Phone (832) 240-1189
4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112
16605 Southwest Fwy
Ste 175
Sugar Land, TX 77479
Phone (281) 565-1112
Interoperability endpoints
- ccherian79372@directhoustonmethodist.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27027 | OK | |
| Family Medicine Physician | 207Q00000X | ME113498 | FL | Yes |
Addresses
Primary practice location
781 Cypress Village Blvd
Ruskin, FL 33573-6801
Mailing address
10051 5TH Street North Attn: Credentialing
Suite 200
St Petersburg, FL 33702
Phone (727) 824-0780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006501200 | Medicaid | FL |
Other providers in Ruskin, FL
- Center for Radiation Oncology Inc
- Tonya Sophia Chaney
- Charles Nunez OD & Associates PA
- Chase Quality Care
- Check My Heart LLC
- CHI T. Nguyen, DDS, PA
- Michelle Dori Ciliberti
- Aura Maria Cisneros
- Ariel Marie Clark
- Khalen Dewar Clark
All providers in Ruskin, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.