NPIMap

Individual provider Active NPI

J Guillermo Trabanino, M.D.

  • Gastroenterology Physician
  • Sugar Land, TX
National Provider Identifier
1669473690
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F8707 Issued in TX
Practice address
1111 Highway 6
Suite 105
Sugar Land, TX 77478-4914
Phone
(281) 491-9779
Fax
(281) 491-3551
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F8707 TX Primary

Addresses

Primary practice location

1111 Highway 6
Suite 105
Sugar Land, TX 77478-4914

Mailing address

1111 Highway 6
Suite 105
Sugar Land, TX 77478-4914
Phone (281) 491-9779

Other identifiers 3

IdentifierTypeStateIssuer
100017209OtherTXRAILROAD
124580507MedicaidTX
8F8811OtherTXBLUE CROSS BLUE SHIELD TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive & Liver Specialists Gastroenterology Past Accepting new patients
Nasrullah Manji, M.D., P.a. PastSince Jan 21, 2011 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20622/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jtrabanino97858@direct.houstonmethodist.org

Organizations & group practices 2

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1669473690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784914",
            "telephone_number": "281-491-9779",
            "fax_number": "281-491-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784914",
            "telephone_number": "281-491-9779",
            "fax_number": "281-491-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABANINO",
        "first_name": "J",
        "middle_name": "GUILLERMO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F8707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "100017209",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124580507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8F8811",
            "state": "TX"
        }
    ],
    "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 Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.