Individual provider Active NPI

Sai Padmaja Achanta, P.A.

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1720096498
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2383 Issued in OK
Practice address
20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone
(713) 798-3111
Fax
(713) 798-7999
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03347 TX
Physician Assistant 363A00000X 2383 OK Primary

Addresses

Primary practice location

20171 Chasewood Park Dr
Houston, TX 77070-1437

Mailing address

1 Baylor PLZ Ste Nc100
Houston, TX 77030-3411
Phone (713) 798-3111

Other practice location 1

1145 S Utica Ave
Ste 460
Tulsa, OK 74104-4000
Phone (918) 579-5749

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Houston Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070126000437 TX Practitioner - Physician Assistant 5799786125 Reassigns benefits to 2 organizations
I20140813000167 OK Practitioner - Physician Assistant 5799786125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03347TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Apr 1, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 4, 2018 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 4, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2020 Accepting new patients
TMH Physician Organization Past Accepting new patients
Integris Cardiovascular Physicians LLC Past Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 7

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1720096498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ STE NC100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-3111",
            "fax_number": "713-798-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20171 CHASEWOOD PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701437",
            "telephone_number": "713-798-3111",
            "fax_number": "713-798-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 S Utica Ave",
            "address_2": "STE 460",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044000",
            "country_code": "US",
            "telephone_number": "918-579-5749",
            "fax_number": "918-560-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHANTA",
        "first_name": "SAI PADMAJA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03347",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient information exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email, Fax",
            "address_1": "1 Baylor Plz Ste Nc100",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770303411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.