Organization Active NPI

Sequoia Medical Practice PLLC

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1831658228
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SEQUOIA MEDICAL PRACTICE PLLC
Practice address
400 N Sam Houston Pkwy E Ste 301
Houston, TX 77060-3500
Phone
(281) 459-0065
Fax
(346) 998-0354
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Rohan Patankar, DONPI 1699041608
Title
Owner
Phone
(954) 296-8548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

400 N Sam Houston Pkwy E Ste 301
Houston, TX 77060-3500

Mailing address

PO Box 672706
Houston, TX 77267-2706
Phone (281) 459-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, IN, MD, PA, OK, NY, MA, MN9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20190515001862 TX Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Missouri City, TX
O20250918001536 KY Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, KY
O20251120000910 IN Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20251126002744 MD Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD
O20251126004166 PA Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, PA
O20251126004252 OK Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK
O20251128000322 NY Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, NY
O20251201003173 MA Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA
O20260102002006 MN Part B Supplier - Clinic/Group Practice 7416290465 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

421 W Main St
Frankfort, KY 40601
Phone (800) 796-2946

10300 Greenbriar Pl
Oklahoma City, OK 73159
Phone (405) 962-1800

400 N Sam Houston Pkwy E
Ste 310
Houston, TX 77060
Phone (281) 459-0065

400 N Sam Houston Pkwy E
Ste 301
Houston, TX 77060
Phone (281) 459-0065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1831658228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672706",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772672706",
            "telephone_number": "281-459-0065",
            "fax_number": "346-998-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N SAM HOUSTON PKWY E STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603500",
            "telephone_number": "281-459-0065",
            "fax_number": "346-998-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "PATANKAR",
        "authorized_official_first_name": "ROHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-296-8548",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 16, 2023; 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.