NPIMap

Individual provider Active NPI

Silvia Boccardo-Sabatini, MD

  • Internal Medicine Physician
  • Pasadena, TX
National Provider Identifier
1861480204
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1780 Issued in TX
Practice address
5050 Crenshaw Rd
Ste 100
Pasadena, TX 77505-3139
Phone
(281) 487-3840
Fax
(281) 487-3861
NPI assigned
Oct 10, 2005
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1780 TX Primary

Addresses

Primary practice location

5050 Crenshaw Rd
Ste 100
Pasadena, TX 77505-3139

Mailing address

5050 Crenshaw Road
Ste 100
Pasadena, TX 77505-3139
Phone (281) 487-3840

Other identifiers 1

IdentifierTypeStateIssuer
045016503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001381 TX Practitioner - Internal Medicine 1052418050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Care Group PLLCGroup PAC ID 1557318680, 5 clinicians
Calixto J Ruibal MD PAGroup PAC ID 6608834965, 5 clinicians

Practice addresses (Care Compare)

5050 Crenshaw Rd
Suite 100
Pasadena, TX 77505-3139
Phone (832) 399-4141

7109 Lawndale St
Suite B
Houston, TX 77023-4248
Phone (713) 924-4907

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1780TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care Group PLLC CurrentSince Oct 28, 1996 Accepting new patients
Calixto J Ruibal MD PA Internal Medicine CurrentSince Apr 30, 2002 Accepting new patients

Locations

7109 Lawndale St
#B
Houston, TX 77023
Phone (713) 924-4907

5050 Crenshaw Rd
Ste 100
Pasadena, TX 77505
Phone (281) 487-3840

6243 Fairmont Pkwy
Ste 100
Pasadena, TX 77505
Phone (281) 487-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/57555142-fd4d-44f9-b414-6223f59f4079/

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1861480204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW ROAD",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "281-487-3840",
            "fax_number": "281-487-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "281-487-3840",
            "fax_number": "281-487-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCARDO-SABATINI",
        "first_name": "SILVIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045016503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.