NPIMap

Individual provider Active NPI

Rasiel Matos Sardina, CNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1558650226
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1003131 Issued in TX
Practice address
10496 Katy Fwy Ste 101
Houston, TX 77043-5269
Phone
(346) 571-7500
Fax
(713) 492-2440
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WX0800X 1003131 TX
Family Nurse Practitioner 363LF0000X 1003131 TX Primary

Addresses

Primary practice location

10496 Katy Fwy Ste 101
Houston, TX 77043-5269

Mailing address

PO Box 38450
Houston, TX 77238-8450
Phone (832) 461-9413

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
I20230322002679 TX Practitioner - Nurse Practitioner 2769856384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inov8 OrthopedicsGroup PAC ID 2567752728, 11 clinicians

Practice addresses (Care Compare)

10496 Katy Fwy
Suite 101
Houston, TX 77043-5269
Phone (346) 571-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.35 of 100Reported as group
Promoting interoperability
97
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1003131TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inov8 Orthopedics Single Specialty CurrentSince Mar 9, 2023 Accepting new patients
Yordan Surgical Assistant Service PLLC Single Specialty Past Accepting new patients
Superior First Assistants LLC Single Specialty Past Accepting new patients

Locations

10496 Katy Fwy
Ste 101
Houston, TX 77043
Phone (346) 571-7500

10496 Katy Fwy
Ste 105
Houston, TX 77043
Phone (281) 800-1233

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 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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1558650226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772388450",
            "telephone_number": "832-461-9413",
            "fax_number": "281-890-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10496 KATY FWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770435269",
            "telephone_number": "346-571-7500",
            "fax_number": "713-492-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS SARDINA",
        "first_name": "RASIEL",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Orthopedic",
            "state": "TX",
            "license": "1003131",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1003131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.