PSM1 Management LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

PSM1 MANAGEMENT LLC

Doing business as

Texas Comprehensive Care.

Practice address

2121 Williams Trace Blvd Ste 300
Sugar Land, TX 77478-4526

Phone

(281) 747-7620

Fax

(281) 747-7621

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Pawan Pandya

Title

Administrator

Phone

(409) 779-3138

Specialties & licenses 2

Addresses

Other names 1

• Texas Comprehensive Care. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 5

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

• Jaideep U. Barge, MD

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1013197805
  Medicare reassignment NPD
• Porsha Melcher

  • Podiatrist
  • Sugar Land, TX
  • NPI 1437568136

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Rajnikant R Patel, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Sugar Land, TX
  • NPI 1831105790
  Medicare reassignment NPD
• Marcel Dwaine Thompson, D.O.

  • Obstetrics & Gynecology Physician
  • Bellaire, TX
  • NPI 1265593875
  Medicare reassignment NPD
• Monique Nichole Vannoy, FNP

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1003327370
  Medicare reassignment NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1710739719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILLIAMS TRACE BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784526",
            "telephone_number": "281-747-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILLIAMS TRACE BLVD STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784526",
            "telephone_number": "281-747-7620",
            "fax_number": "281-747-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Williams Trace Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784443",
            "country_code": "US",
            "telephone_number": "281-747-7620",
            "fax_number": "281-747-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSM1 MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "PAWAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-779-3138"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Comprehensive Care.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• PT Wellness Professionals, PLLC
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• Geriatric Medicine (Internal Medicine) Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.