Individual provider Active NPI

Roshni D Sambasivan, M.D.

  • Pediatrics Physician
  • Bellaire, TX
National Provider Identifier
1841585668
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R0116 Issued in TX
Practice address
6750 West Loop S Ste 465
Bellaire, TX 77401-4103
Phone
(832) 431-4336
Fax
(832) 460-6399
NPI assigned
Jun 9, 2011
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R0116 TX Primary

Addresses

Primary practice location

6750 West Loop S Ste 465
Bellaire, TX 77401-4103

Mailing address

6750 West Loop S Ste 465
Bellaire, TX 77401-4103
Phone (832) 431-4336

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
I20171018001739 TX Practitioner - Pediatric Medicine 3072817659 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6621 Fannin St
Ste W6104
Houston, TX 77030
Phone (832) 826-1309

6701 Fannin St
Ste 1420
Houston, TX 77030
Phone (832) 822-4240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1841585668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 465",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014103",
            "telephone_number": "832-431-4336",
            "fax_number": "832-460-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S STE 465",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014103",
            "telephone_number": "832-431-4336",
            "fax_number": "832-460-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBASIVAN",
        "first_name": "ROSHNI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R0116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.