Individual provider Active NPI

Sanjay K Aggarwal, MD

  • Pulmonary Disease Physician
  • Lake Jackson, TX
National Provider Identifier
1801878608
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K1766 Issued in TX
Practice address
215 Oak Dr S Ste H
Lake Jackson, TX 77566-5618
Phone
(979) 297-1007
Fax
(844) 573-3211
NPI assigned
Nov 17, 2005
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X K1766 TX Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X K1766 TX

Addresses

Primary practice location

215 Oak Dr S Ste H
Lake Jackson, TX 77566-5618

Mailing address

215 Oak Dr S Ste H
Lake Jackson, TX 77566-5618
Phone (979) 297-1007

Other identifiers 6

IdentifierTypeStateIssuer
8281293001OtherTXCIGNA ID
029868901MedicaidTX
0023BEOtherTXBCBS ID
2175699OtherTXAETNA ID
169601501MedicaidTX
029868902MedicaidTX

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
I20040713000365 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Sleep Medicine 9436137981 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Hospitalists PLLCGroup PAC ID 4486041472, 15 clinicians
CHN Medical Support SystemsGroup PAC ID 2365826260, 5 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-4411

10851 Scarsdale Blvd
Suite 200
Houston, TX 77089-5738
Phone (281) 824-1480

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

215 Oak Dr S
Suite H
Lake Jackson, TX 77566-5618
Phone (979) 297-1007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHN Medical Support Systems CurrentSince Jan 2, 2025 Accepting new patients
Ies Hospitalists PLLC CurrentSince Mar 4, 2022 Accepting new patients
Gulf Coast Sleep Center and Diagnostics LLC CurrentSince Dec 1, 2023 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Jan 2, 2025 Accepting new patients
Texas Em-I Medical Services, PA Past Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

10851 Scarsdale Blvd
Ste 200
Houston, TX 77089
Phone (281) 481-4577

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

107 W Way St
Ste 19
Lake Jackson, TX 77566
Phone (979) 266-9497

215 Oak Dr S
Ste H
Lake Jackson, TX 77566
Phone (979) 297-1007

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBEEAA/Endpoint/IBEEAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1801878608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE H",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665618",
            "telephone_number": "979-297-1007",
            "fax_number": "844-573-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE H",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665618",
            "telephone_number": "979-297-1007",
            "fax_number": "844-573-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "SANJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K1766",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "K1766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "8281293001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029868901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "0023BE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "2175699",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169601501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029868902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.