NPIMap

Individual provider Active NPI

Krishna Chaitanya Sajja, M.D.

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1477931053
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R1634 Issued in TX
Practice address
134 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3032
Phone
(281) 205-1111
Fax
(281) 419-2111
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R1634 TX Primary
Internal Medicine Physician 207R00000X R1634 TX

Addresses

Primary practice location

134 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3032

Mailing address

134 Vision Park Blvd Ste 280
Shenandoah, TX 77384-3032
Phone (281) 978-4714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181001000277 TX Practitioner - HospitalistPractitioner - Internal Medicine 0244581346 Reassigns benefits to 1 organization
I20240708002584 TX Practitioner - Gastroenterology 0244581346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Houston Digestive Disease ConsultantsGroup PAC ID 0446374060, 2 clinicians

Practice addresses (Care Compare)

134 Vision Park Blvd
Suite 280
Shenandoah, TX 77384-3032
Phone (281) 205-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1634TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Greater Houston Digestive Disease Consultants Gastroenterology CurrentSince Oct 10, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Sep 1, 2018 Accepting new patients
Greater Houston Digestive Disease Consultants PastSince Oct 10, 2024 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

134 Vision Park Blvd
Ste 280
Shenandoah, TX 77384
Phone (281) 205-1111

9200 Pinecroft Dr
Ste 480
Shenandoah, TX 77380
Phone (281) 205-1111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFHBA
  • Direct secure messaging: ksajja211152@ahs.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1477931053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 280",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843032",
            "telephone_number": "281-978-4714",
            "fax_number": "281-419-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 280",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843032",
            "telephone_number": "281-205-1111",
            "fax_number": "281-419-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJA",
        "first_name": "KRISHNA",
        "middle_name": "CHAITANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "R1634",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.