Organization Active NPI

Northchase Family Practice Clinic

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1558856997
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4510 Issued in TX
Legal business name
NORTHCHASE FAMILY PRACTICE CLINIC
Practice address
11417 Veterans Memorial Dr
Houston, TX 77067-2601
Phone
(713) 955-3919
Fax
(713) 673-8016
NPI assigned
Jun 28, 2018
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Love Sozi, MDNPI 1972769255
Title
Doctor
Phone
(713) 955-3919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N4510 TX Primary

Addresses

Primary practice location

11417 Veterans Memorial Dr
Houston, TX 77067-2601

Mailing address

11417 Veterans Memorial Dr
Houston, TX 77067-2601
Phone (713) 955-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180910001033 TX Part B Supplier - Clinic/Group Practice 4880944057 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2151584Northchase Family Practice Clinic11417 Veterans Memorial Drive, Houston, TX 77067Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1558856997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11417 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672601",
            "telephone_number": "713-955-3919",
            "fax_number": "713-673-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672601",
            "telephone_number": "713-955-3919",
            "fax_number": "713-673-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCHASE FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "SOZI",
        "authorized_official_first_name": "LOVE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "713-955-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.