Individual provider Active NPI

Damien Brough Sanderlin, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1518937101
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6617 Issued in TX
Practice address
509 W Tidwell Rd Ste 150
Houston, TX 77091-4354
Phone
(281) 447-5570
Fax
(949) 703-8954
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L6617 TX Primary

Addresses

Primary practice location

509 W Tidwell Rd Ste 150
Houston, TX 77091-4354

Mailing address

509 W Tidwell Rd Ste 150
Houston, TX 77091-4354
Phone (281) 447-5570

Other identifiers 2

IdentifierTypeStateIssuer
160860601OtherTXINDIVIDUAL MEDICAID NO
160859801MedicaidTX

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
I20040511000253 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8820087216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

509 W Tidwell Rd
Suite 150
Houston, TX 77091-4354
Phone (281) 447-5570

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aachievement Medical Associates Single Specialty Current Accepting new patients
Achievement Medical Associates, PA Single Specialty CurrentSince Sep 2, 2003 Accepting new patients
North Houston Emergency Physicians Association Single Specialty Past Accepting new patients

Locations

8240 Antoine Dr
Ste 107
Houston, TX 77088
Phone (281) 447-5570

509 W Tidwell Rd
Ste 160
Houston, TX 77091
Phone (281) 447-5570

509 W Tidwell Rd
Ste 150
Houston, TX 77091
Phone (281) 447-5570

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25775/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1518937101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914354",
            "telephone_number": "281-447-5570",
            "fax_number": "949-703-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W TIDWELL RD STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914354",
            "telephone_number": "281-447-5570",
            "fax_number": "949-703-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERLIN",
        "first_name": "DAMIEN",
        "middle_name": "BROUGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID NO",
            "identifier": "160860601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160859801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.