Preventive Medicine Institute PA

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

K7197 Issued in TX

Legal business name

PREVENTIVE MEDICINE INSTITUTE PA

Practice address

16651 Southwest Fwy
Suite 300
Sugar Land, TX 77479-2345

Phone

(281) 277-9898

NPI assigned

Jun 27, 2007

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maya R Patel, M.DNPI 1649340282

Title

Medical Director

Phone

(281) 277-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8183/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maya Patel, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1649340282
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1831396639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792348",
            "telephone_number": "281-277-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16651 SOUTHWEST FWY",
            "address_2": "SUITE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792345",
            "telephone_number": "281-277-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-277-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "K7197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021EP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Internal Medicine

• Adolescent Medicine (Internal Medicine) Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Adolescent Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.