NPIMap

Organization Active NPI

St. Michael's Medical Hospital LLC

  • General Acute Care Hospital
  • Sugar Land, TX
National Provider Identifier
1902453970
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST. MICHAEL'S MEDICAL HOSPITAL LLC
Practice address
16000 Southwest Fwy Ste 100
Sugar Land, TX 77479-2674
Phone
(281) 980-4357
Fax
(281) 980-4445
NPI assigned
Aug 23, 2019
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Brian Orsak
Title
Owner
Phone
(281) 980-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

16000 Southwest Fwy Ste 100
Sugar Land, TX 77479-2674

Mailing address

16000 Southwest Fwy Ste 100
Sugar Land, TX 77479-2674
Phone (281) 980-4357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210903000941 TX Part A Provider - Hospital 9335556562 Practice locations: Sugar Land, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902453970. Details of each certification follow.

Hospital certification: CCN 670314

Legal name
ST. MICHAEL'S MEDICAL HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 12, 2021
Last certification
Oct 12, 2024
Beds
7
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
16000 Southwest Fwy
Ste 100
Sugar Land, TX 77479-2674
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Other

Care Compare: Hospital

Medicare Care Compare
Listed as
St Michaels Medical Hospital LLCCCN 670314 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2172109St Michael's Elite Medical Hospital16000 Southwest Freeway Suite 100, Sugar Land, TX 77479AccreditationFeb 9, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shannon M Orsak Individual 5% Or Greater Indirect Ownership Interest Jan 26, 2021
Jessica Rivas Individual Corporate OfficerCeo Jan 4, 2021
W-2 Managing EmployeeCeo Jan 4, 2021
02 Holdings, LLC Organization, Sugar Land, TX LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2019
Brian Orsak Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1902453970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792674",
            "telephone_number": "281-980-4357",
            "fax_number": "281-980-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792674",
            "telephone_number": "281-980-4357",
            "fax_number": "281-980-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S MEDICAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ORSAK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-980-4357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.