Organization Active NPI

Saji Pillai M.D., PA

  • Internal Medicine Physician
  • Southlake, TX
National Provider Identifier
1457726812
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2753 Issued in TX
Legal business name
SAJI PILLAI M.D., PA
Practice address
2400 Ridgecrest Dr
Southlake, TX 76092-2602
Phone
(469) 546-5412
Fax
(469) 574-5476
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Saji Pillai, M.D.
Title
Ceo
Phone
(469) 546-5412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M2753 TX Primary

Addresses

Primary practice location

2400 Ridgecrest Dr
Southlake, TX 76092-2602

Mailing address

PO Box 93837
Southlake, TX 76092-0117
Phone (469) 546-5412

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1457726812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93837",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920117",
            "telephone_number": "469-546-5412",
            "fax_number": "469-574-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RIDGECREST DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760922602",
            "telephone_number": "469-546-5412",
            "fax_number": "469-574-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJI PILLAI M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "PILLAI",
        "authorized_official_first_name": "SAJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-546-5412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.