Organization Active NPI

Preventa Family Clinic, PLLC

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1568975571
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA09248 Issued in TX
Legal business name
PREVENTA FAMILY CLINIC, PLLC
Practice address
15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866
Phone
(281) 634-7800
Fax
(281) 634-7807
NPI assigned
Nov 13, 2017
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Arsalan Ahmed, MD
Title
President/Owner
Phone
(281) 634-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA09248 TX Primary
Anatomic Pathology Physician 207ZP0101X 0101245512 VA

Addresses

Primary practice location

15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866

Mailing address

15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866
Phone (281) 634-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104000444 TX Part B Supplier - Clinic/Group Practice 9436418027 Receives reassigned benefits from 4 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1568975571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783866",
            "telephone_number": "281-634-7800",
            "fax_number": "281-634-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783866",
            "telephone_number": "281-634-7800",
            "fax_number": "281-634-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTA FAMILY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ARSALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-634-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA09248",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VA",
            "license": "0101245512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.