Organization Active NPI

Josier M. Nisnisan MD, PLLC

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1841229911
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4079 Issued in TX
Legal business name
JOSIER M. NISNISAN MD, PLLC
Practice address
1400 Creek Way Dr Ste 201a
Sugar Land, TX 77478-4073
Phone
(281) 201-2096
Fax
(281) 759-6447
NPI assigned
Jul 1, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Josier M. Nisnisan, MDNPI 1639391527
Title
Medical Director
Phone
(281) 201-2096

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
Internal Medicine Physician 207R00000X L4079 TX Primary

Addresses

Primary practice location

1400 Creek Way Dr Ste 201a
Sugar Land, TX 77478-4073

Mailing address

1400 Creek Way Dr Ste 201a
Sugar Land, TX 77478-4073
Phone (281) 201-2096

Other identifiers 3

IdentifierTypeStateIssuer
168440901MedicaidTX
0079LBOtherTXBC/BS
11047209OtherTXCAQH PROVIDER NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041030000234 TX Part B Supplier - Clinic/Group Practice 0941262158 Receives reassigned benefits from 1 practitioner
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

12121 Richmond Ave
Ste 401
Houston, TX 77082
Phone (281) 556-8660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1980/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1841229911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR STE 201A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784073",
            "telephone_number": "281-201-2096",
            "fax_number": "281-759-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR STE 201A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784073",
            "telephone_number": "281-201-2096",
            "fax_number": "281-759-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSIER M. NISNISAN MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "NISNISAN",
        "authorized_official_first_name": "JOSIER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-201-2096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168440901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0079LB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NO.",
            "identifier": "11047209",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.