Active NPI
Vlad Constantin Sandulache, M.D
- Otolaryngology Physician
- Houston, TX
National Provider Identifier
1679726939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- Q2705
- Practice address
- 1977 Butler Blvd # E5.200
Houston, TX 77030-4101 - Phone
- (713) 798-5900
- Fax
- (713) 798-5841
- NPI assigned
- Oct 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | BP10030820 | TX | |
| Otolaryngology Physician | 207Y00000X | Q2705 | TX | Primary |
Addresses
Primary practice location
1977 Butler Blvd # E5.200
Houston, TX 77030-4101
Mailing address
P O Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other practice location 1
1515 Holcombe Blvd
Houston, TX 77030-4009
Phone (713) 792-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346690601 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vsandulache11927@bcm.ghhdirect.net |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10030820 | TX | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients |
Locations
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
1977 Butler Blvd
#E5200
Houston, TX 77030
Phone (713) 798-5900
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1679726939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1977 BUTLER BLVD # E5.200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304101",
"telephone_number": "713-798-5900",
"fax_number": "713-798-5841"
}
],
"practiceLocations": [
{
"address_1": "1515 Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304009",
"country_code": "US",
"telephone_number": "713-792-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDULACHE",
"first_name": "VLAD",
"middle_name": "CONSTANTIN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-30",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "BP10030820",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "Q2705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346690601",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vsandulache11927@bcm.ghhdirect.net",
"affiliation": "N",
"address_1": "1977 Butler Blvd # E5.200",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770304101",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.