Active NPI
Imed Surgical of Sugar Land PC
- Surgery Physician
- Sugar Land, TX
National Provider Identifier
1467002931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- IMED SURGICAL OF SUGAR LAND PC
- Practice address
- 6350 Highway 90a Ste 700
Sugar Land, TX 77498-2023 - Phone
- (281) 946-0337
- NPI assigned
- Sep 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer R Myers
- Title
- Clinical Compliance Manager
- Phone
- (631) 479-3496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
6350 Highway 90a Ste 700
Sugar Land, TX 77498-2023
Mailing address
113 E 39TH St
New York, NY 10016-0968
Phone (212) 223-0716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1467002931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E 39TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160968",
"telephone_number": "212-223-0716",
"fax_number": "917-791-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 HIGHWAY 90A STE 700",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774982023",
"telephone_number": "281-946-0337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMED SURGICAL OF SUGAR LAND PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CLINICAL COMPLIANCE MANAGER",
"authorized_official_telephone_number": "631-479-3496"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.