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Individual provider Active NPI Physician Assistant · Rosenberg, TX

NPI 1508463571 · NPPES record last updated Apr 23, 2022

Key facts

NPI
1508463571
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA15041 (TX)
Practice address
5219 Reading Rd
Rosenberg, TX 77471-5758
Phone
(713) 730-2000
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpesh D. Desai, DO, PA (27 clinicians)

Practice addresses (Care Compare)

2120 Ashland St
Houston, TX 77008-2418
Phone (713) 864-2659

5219 Reading Rd
Rosenberg, TX 77471-5758
Phone (713) 730-2000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100 (group)

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220202002857 TX Practitioner - Physician Assistant 8224421813 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15041TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alpesh D. Desai, D.O. P.a. Single Specialty Past
since May 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363A00000X PA15041 TX Yes

Addresses

Primary practice location

5219 Reading Rd
Rosenberg, TX 77471-5758

Mailing address

5219 Reading Rd
Rosenberg, TX 77471-5758
Phone (713) 730-2000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2022.

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1508463571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 READING RD",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715758",
            "telephone_number": "713-730-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 READING RD",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715758",
            "telephone_number": "713-730-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "VY",
        "middle_name": "THY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

All providers in Rosenberg, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.