Active NPI
Sadasivareddy Goli, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1831100676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L3314
- Practice address
- 5990 Airline Dr
250
Houston, TX 77076-4237 - Phone
- (713) 695-8180
- Fax
- (713) 695-8195
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L3314 | TX | Primary |
Addresses
Primary practice location
5990 Airline Dr
250
Houston, TX 77076-4237
Mailing address
PO Box 38252
Houston, TX 77238-8252
Phone (713) 695-8180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L3314 | Other | TX | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sadasivareddy.goli@cca.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080114000084 | TX | Practitioner - Internal Medicine | 2062593304 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5990 Airline Dr
Suite 250
Houston, TX 77076-4237
Phone (713) 695-8180
Hospital & facility affiliations
- HCA Houston Healthcare Northwest
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3314 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sr Medical Clinic PLLC | Internal Medicine | Current | Accepting new patients |
| Gwinnett Clinic LTD | Past | Accepting new patients | |
| Airline Doctors Family and Pediatric Clinics,PLLC | Past | Accepting new patients | |
| Houston Northwest Operating Company, LLC | Past | Accepting new patients |
Locations
5990 Airline Dr
Ste 250
Houston, TX 77076
Phone (713) 695-8180
Interoperability endpoints
- sadasivareddy.goli@cca.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/HJBJAA/Endpoint/HJBJAA
Organizations & group practices 4
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.
-
- Pediatric Adolescent Medicine Physician
- Houston, TX
- NPI 1295149144
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- Multi-Specialty Clinic/Center
- Duluth, GA
- NPI 1629117650
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831100676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38252",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772388252",
"telephone_number": "713-695-8180",
"fax_number": "713-695-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 AIRLINE DR",
"address_2": "250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770764237",
"telephone_number": "713-695-8180",
"fax_number": "713-695-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLI",
"first_name": "SADASIVAREDDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2023-03-07",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L3314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "L3314",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sadasivareddy.goli@cca.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD and PDF",
"address_1": "5990 Airline Dr",
"address_2": "250",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770764237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.