Individual provider Active NPI

Alexis Charmelle Sanders

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1770752966
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05157 Issued in TX
Practice address
23222 Kingsland Blvd
Suite a
Katy, TX 77494-3033
Phone
(281) 693-0084
Fax
(281) 693-0093
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05157 TX Primary

Addresses

Primary practice location

23222 Kingsland Blvd
Suite a
Katy, TX 77494-3033

Mailing address

23222 Kingsland Blvd
Suite a
Katy, TX 77494-3033
Phone (281) 693-0084

Other practice location 1

8800 Katy Fwy Ste 250
Houston, TX 77024-1698
Phone (281) 874-0400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002754 TX Practitioner - Physician Assistant 3375985492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

23543 Kingsland Blvd
Suite 100
Katy, TX 77494-3962
Phone (281) 693-0084

561 W Medical Ctr Blvd
Webster, TX 77598-4240
Phone (281) 332-2348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05157TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Family Allergy & Asthma, PA CurrentSince Apr 14, 2024 Accepting new patients

Locations

8800 Katy Fwy
Ste 250
Houston, TX 77024
Phone (713) 461-6711

23222 Kingsland Blvd
Ste A
Katy, TX 77494
Phone (281) 574-4226

561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1770752966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23222 KINGSLAND BLVD",
            "address_2": "SUITE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943033",
            "telephone_number": "281-693-0084",
            "fax_number": "281-693-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23222 KINGSLAND BLVD",
            "address_2": "SUITE A",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943033",
            "telephone_number": "281-693-0084",
            "fax_number": "281-693-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Katy Fwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241698",
            "country_code": "US",
            "telephone_number": "281-874-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ALEXIS",
        "middle_name": "CHARMELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.