Individual provider Active NPI

Manju Sachdev, MD

  • Pediatrics Physician
  • Sugar Land, TX
National Provider Identifier
1629047006
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K6704 Issued in TX
Practice address
6909 Brisbane CT Ste 100
Sugar Land, TX 77479-7146
Phone
(832) 222-5437
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K6704 TX Primary

Addresses

Primary practice location

6909 Brisbane CT Ste 100
Sugar Land, TX 77479-7146

Mailing address

307 Woodlands LN
Victoria, TX 77904-3373
Phone (361) 571-9126

Other practice location 1

501 E Colorado St
Victoria, TX 77901-6025
Phone (361) 579-8300

Other identifiers 2

IdentifierTypeStateIssuer
127064702MedicaidTX
127064706MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manju.sachdev.1@1902.direct.athenahealth.com

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
I20080326000412 TX Practitioner - Pediatric Medicine 9032295456 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Pediatrics Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2018 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2018 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Kids Urgent Care PastSince Jan 21, 2024 Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1629047006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WOODLANDS LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043373",
            "telephone_number": "361-571-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 BRISBANE CT STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797146",
            "telephone_number": "832-222-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Colorado St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779016025",
            "country_code": "US",
            "telephone_number": "361-579-8300",
            "fax_number": "361-576-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACHDEV",
        "first_name": "MANJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127064702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127064706",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manju.sachdev.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "501 E Colorado St",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.