Individual provider Active NPI

Sanjay Madhuker Jaswani, M.D.

  • Internal Medicine Physician
  • Cypress, TX
National Provider Identifier
1548418288
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116020112 Issued in VA
Practice address
14317 Cypress Rosehill Rd
Cypress, TX 77429-7801
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Sep 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116020112 VA Primary

Addresses

Primary practice location

14317 Cypress Rosehill Rd
Cypress, TX 77429-7801

Mailing address

PO Box 392929
Pittsburgh, PA 15251-9900
Phone (713) 461-2915

Other identifiers 1

IdentifierTypeStateIssuer
1548418288MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sanjay.jaswani.1@13711.direct.athenahealth.com Direct

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
I20191227000615 TX Practitioner - Internal Medicine 1153591946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

14317 Cypress Rosehill Rd
Cypress, TX 77429-7801
Phone (346) 646-3619

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116020112VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Dec 9, 2019 Accepting new patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

14317 Cypress Rosehill Rd
Cypress, TX 77429
Phone (346) 646-3619

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

9235 Katy Fwy
Ste 400
Houston, TX 77024
Phone (346) 980-2701

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

Interoperability endpoints

  • Direct secure messaging: sanjay.jaswani.1@13711.direct.athenahealth.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 11

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": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1548418288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14317 CYPRESS ROSEHILL RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297801",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASWANI",
        "first_name": "SANJAY",
        "middle_name": "MADHUKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116020112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548418288",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sanjay.jaswani.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14317 Cypress Rosehill Rd",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774297801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.