NPIMap

Individual provider Active NPI

Suzanne Lasek-Nesselquist, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1518075357
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N2619 Issued in TX
Practice address
3400 Bissonnet Street
Suite 297
Houston, TX 77005-2153
Phone
(713) 662-2777
Fax
(833) 428-3635
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X N2619 TX
Internal Medicine Physician 207R00000X N2619 TX Primary

Addresses

Primary practice location

3400 Bissonnet Street
Suite 297
Houston, TX 77005-2153

Mailing address

3400 Bissonnet Street
Suite 297
Houston, TX 77005-2153
Phone (713) 662-2777

Other identifiers 2

IdentifierTypeStateIssuer
P00744698OtherTXMEDICARE RAILROAD PIN
8BV154OtherTXBLUE CROSS BLUE SHIELD OF TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000780 TX Practitioner - Internal Medicine 3971696733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
West University Internal Medicine, P.L.L.C.Group PAC ID 3173509049, 5 clinicians

Practice addresses (Care Compare)

3400 Bissonnet St
Suite 100
Houston, TX 77005-2153
Phone (713) 662-2777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West University Internal Medicine, P.L.L.C. Internal Medicine CurrentSince Sep 6, 2024 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Aug 1, 2009 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients

Locations

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

3400 Bissonnet St
Ste 100
Houston, TX 77005
Phone (713) 662-2777

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.

Hospital & facility affiliations 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1518075357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET STREET",
            "address_2": "SUITE 297",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052153",
            "telephone_number": "713-662-2777",
            "fax_number": "713-665-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET STREET",
            "address_2": "SUITE 297",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052153",
            "telephone_number": "713-662-2777",
            "fax_number": "833-428-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASEK-NESSELQUIST",
        "first_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N2619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00744698",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8BV154",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.