Organization Active NPI

Ambreen Sharaf, MD PA

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1700045762
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4941 Issued in TX
Legal business name
AMBREEN SHARAF, MD PA
Practice address
17510 W Grand Pkwy
Suite 540
Sugar Land, TX 77479-2645
Phone
(281) 342-4000
Fax
(281) 232-8880
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Ambreen Sharaf, MDNPI 1235226275
Title
Owner
Phone
(281) 342-4000

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M4941 TX Primary

Addresses

Primary practice location

17510 W Grand Pkwy
Suite 540
Sugar Land, TX 77479-2645

Mailing address

17510 W Grand Pkwy S
Suite 540
Sugar Land, TX 77479-2645
Phone (281) 342-4000

Other identifiers 2

IdentifierTypeStateIssuer
00Z414OtherTXMEDICARE PTAN
8BM000OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • ELITE MEDICAL CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000235 TX Part B Supplier - Clinic/Group Practice 4082789623 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1088218Elite Medical Care17510 W Grand Parkway South, Ste 540, Sugar Land, TX 77479Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Locations

17510 W Grand Pkwy S
Ste 540
Sugar Land, TX 77479
Phone (281) 242-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1700045762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S",
            "address_2": "SUITE 540",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-342-4000",
            "fax_number": "281-232-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY",
            "address_2": "SUITE 540",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792645",
            "telephone_number": "281-342-4000",
            "fax_number": "281-232-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBREEN SHARAF, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "SHARAF",
        "authorized_official_first_name": "AMBREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-342-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00Z414",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8BM000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.