Organization Active NPI

SKG Heart Center, PLLC

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1609886423
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L3323 Issued in TX
Legal business name
SKG HEART CENTER, PLLC
Practice address
7710 Beechnut St
Suite 210
Houston, TX 77074-3100
Phone
(713) 623-6555
Fax
(713) 623-6569
NPI assigned
Aug 8, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Swati Gupta, M.D.NPI 1760467351
Title
Member
Phone
(713) 623-6555

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X L3323 TX Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X L3323 TX
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X L3323 TX

Addresses

Primary practice location

7710 Beechnut St
Suite 210
Houston, TX 77074-3100

Mailing address

5934 Garden Hills Dr
Sugar Land, TX 77479-3143
Phone (713) 623-6555

Other identifiers 1

IdentifierTypeStateIssuer
157337001MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050812000661 TX Part B Supplier - Clinic/Group Practice 4486684115 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

7710 Beechnut St
Ste 210
Houston, TX 77074
Phone (713) 580-0234

4126 Southwest Fwy
Ste 1400
Houston, TX 77027
Phone (713) 526-7066

7737 Southwest Fwy
Ste 568
Houston, TX 77074
Phone (713) 623-6555

Practitioners & affiliated clinicians

Practitioners 3

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1609886423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 GARDEN HILLS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793143",
            "telephone_number": "713-623-6555",
            "fax_number": "713-623-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BEECHNUT ST",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743100",
            "telephone_number": "713-623-6555",
            "fax_number": "713-623-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKG HEART CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SWATI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-623-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L3323",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "L3323",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L3323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157337001",
            "state": "TX"
        }
    ],
    "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 Jul 29, 2010; 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.