Individual provider Active NPI

Sarfaraz Sadruddin

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1477823813
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q3787 Issued in TX
Practice address
2700 N Featherwood Dr Suite 260
Houston, TX 77034
Phone
(281) 484-4708
NPI assigned
Jan 3, 2012
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Mammography Clinic/Center 261QR0207X Q3787 TX
Mobile Radiology Clinic/Center 261QR0208X
Diagnostic Radiology Physician 2085R0202X Q3787 TX Primary

Addresses

Primary practice location

2700 N Featherwood Dr Suite 260
Houston, TX 77034

Mailing address

2700 N Featherwood Dr Suite 260
Houston, TX 77034
Phone (281) 484-4708

Other practice location 1

301 University Blvd
Galveston, TX 77555-0709
Phone (409) 772-2096

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826002609 TX Practitioner - Diagnostic Radiology 0547576217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The RoseGroup PAC ID 3072680180, 5 clinicians

Practice addresses (Care Compare)

12700 N Featherwood Dr
Suite 260
Houston, TX 77034-4494
Phone (281) 484-4708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q3787TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Jun 23, 2015 Accepting new patients
The Rose Diagnostic Radiology CurrentSince Jul 24, 2021 Accepting new patients

Locations

6575 West Loop S
Ste 275
Bellaire, TX 77401
Phone (281) 484-4708

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

12700 N Featherwood Dr
Ste 260
Houston, TX 77034
Phone (281) 484-4708

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1477823813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N FEATHERWOOD DR SUITE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "281-484-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N FEATHERWOOD DR SUITE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "281-484-4708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550709",
            "country_code": "US",
            "telephone_number": "409-772-2096",
            "fax_number": "409-772-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADRUDDIN",
        "first_name": "SARFARAZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "TX",
            "license": "Q3787",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.