Individual provider Active NPI

Cesar Augusto Sevilla, MD

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1720042633
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G2479 Issued in TX
Practice address
7324 Southwest Fwy Ste 1423
Houston, TX 77074-2172
Phone
(409) 771-9227
Fax
(281) 762-2732
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G2479 TX Primary

Addresses

Primary practice location

7324 Southwest Fwy Ste 1423
Houston, TX 77074-2172

Mailing address

7119 Savannah Glen LN
Richmond, TX 77469-7347
Phone (409) 771-9227

Other identifiers 9

IdentifierTypeStateIssuer
097977504OtherTXINDIVIDUAL TPI NUMBER
MDG2479TXOtherTXWORKERS COMPENSATION
TXB136894OtherTXGROUP PTAN NUMBER
287506401OtherTXTPI GROUP NUMBER
P00173648OtherTXRAILROAD GBA - RAILROAD MEDICARE
TXB136895OtherTXINDIVIDUAL PTAN NUMBER
097977503MedicaidTX
8G6217OtherTXBC/BS TX#
TXB150867OtherTXGROUP PTAN NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000577 TX Practitioner - Orthopedic Surgery 1951360569 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Medical Clinics, P.a. Past Accepting new patients

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1720042633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 SAVANNAH GLEN LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697347",
            "telephone_number": "409-771-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1423",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742172",
            "telephone_number": "409-771-9227",
            "fax_number": "281-762-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVILLA",
        "first_name": "CESAR",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G2479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL TPI NUMBER",
            "identifier": "097977504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "MDG2479TX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN NUMBER",
            "identifier": "TXB136894",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI GROUP NUMBER",
            "identifier": "287506401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GBA - RAILROAD MEDICARE",
            "identifier": "P00173648",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN NUMBER",
            "identifier": "TXB136895",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097977503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX#",
            "identifier": "8G6217",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN NUMBER",
            "identifier": "TXB150867",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.