Organization Active NPI

Sandip Desai MD PA

  • Pulmonary Disease Physician
  • Sugar Land, TX
National Provider Identifier
1669772554
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M1073 Issued in TX
Legal business name
SANDIP DESAI MD PA
Practice address
16959 Southwest Fwy
Suite 100
Sugar Land, TX 77479-3481
Phone
(832) 255-6632
Fax
(832) 255-6633
NPI assigned
Oct 26, 2010
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Sandip R Desai, M.D.NPI 1497741037
Title
President
Phone
(713) 213-5051

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
Pulmonary Disease Physician 207RP1001X M1073 TX Primary

Addresses

Primary practice location

16959 Southwest Fwy
Suite 100
Sugar Land, TX 77479-3481

Mailing address

16959 Southwest Fwy
Suite 100
Sugar Land, TX 77479-3481
Phone (832) 255-6632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160222000642 TX Part B Supplier - Clinic/Group Practice 1557666047 Receives reassigned benefits from 3 practitioners
Practice locations: Eagle Lake, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

16959 Southwest Fwy
#100
Sugar Land, TX 77479
Phone (832) 255-6632

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": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1669772554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16959 SOUTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793481",
            "telephone_number": "832-255-6632",
            "fax_number": "832-255-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16959 SOUTHWEST FWY",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793481",
            "telephone_number": "832-255-6632",
            "fax_number": "832-255-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIP DESAI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-213-5051",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M1073",
            "primary": true
        }
    ],
    "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 13, 2015; 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.