Individual provider Active NPI

Saji Kumar Kannollil, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1457591950
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52231 Issued in TX
Practice address
7200 North Loop E
Houston, TX 77028-5951
Phone
(713) 970-8700
NPI assigned
Feb 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 52231 TX Primary

Addresses

Primary practice location

7200 North Loop E
Houston, TX 77028-5951

Mailing address

2527 Sunrise Harbor LN
Pearland, TX 77584-3248
Phone (281) 990-9329

Other practice location 1

6110 Pinemont Dr Ste 106
Houston, TX 77092-3200
Phone (713) 686-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603001875 TX Practitioner - Clinical Social Worker 3678796018 Reassigns benefits to 1 organization
Practice locations: Pearland, TX

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
78.41
Improvement activities
40
Cost
77.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Harris Center for Mental Health and Idd CurrentSince May 19, 2014 Accepting new patients

Locations

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

7200 North Loop E
Houston, TX 77028
Phone (713) 970-8625

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1457591950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 SUNRISE HARBOR LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843248",
            "telephone_number": "281-990-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NORTH LOOP E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770285951",
            "telephone_number": "713-970-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6110 Pinemont Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770923200",
            "country_code": "US",
            "telephone_number": "713-686-9194",
            "fax_number": "713-686-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNOLLIL",
        "first_name": "SAJI",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.