Active NPI
Navid Berenji
- Interventional Cardiology Physician
- Sugar Land, TX
National Provider Identifier
1477086031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- T1903
- Practice address
- 17520 W Grand Pkwy S Ste 400
Sugar Land, TX 77479-4759 - Phone
- (281) 344-0865
- Fax
- (281) 344-0873
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | T1903 | TX | |
| Interventional Cardiology Physician | 207RI0011X | T1903 | TX | Primary |
Addresses
Primary practice location
17520 W Grand Pkwy S Ste 400
Sugar Land, TX 77479-4759
Mailing address
17520 W Grand Pkwy S Ste 400
Sugar Land, TX 77479-4759
Phone (281) 344-0865
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6400 Fannin St
Suite 2500
Houston, TX 77030-1537
Phone (713) 704-4300
Hospital & facility affiliations
- Memorial Hermann Sugar Land Hospital
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 22 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1903 | TX | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Internal Medicine | Current | Accepting new patients |
| Memorial Hermann Health System | Past | Accepting new patients |
Locations
6400 Fannin St
Ste 2500
Houston, TX 77030
Phone (713) 704-4300
6410 Fannin St
Ste 135
Houston, TX 77030
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
17520 W Grand Pkwy S
Ste 400
Sugar Land, TX 77479
Phone (281) 344-0865
Interoperability endpoints
- nberenji251989@memorialhermann.direct-ci.com
Organizations & group practices 3
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.
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1366229619
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1477086031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S STE 400",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794759",
"telephone_number": "281-344-0865",
"fax_number": "281-344-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S STE 400",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794759",
"telephone_number": "281-344-0865",
"fax_number": "281-344-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENJI",
"first_name": "NAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T1903",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "T1903",
"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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.