Individual provider Active NPI

Robert Russell Sari Jr., PA-C

  • Physician Assistant
  • Conroe, TX
National Provider Identifier
1922812387
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18939 Issued in TX
Practice address
504 Medical Center Blvd
Conroe, TX 77304-2808
Phone
(936) 539-1111
NPI assigned
Feb 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18939 TX Primary

Addresses

Primary practice location

504 Medical Center Blvd
Conroe, TX 77304-2808

Mailing address

504 Medical Center Blvd
Conroe, TX 77304-2808
Phone (936) 539-1111

Other practice location 1

9737 Cogdill Rd
Knoxville, TN 37932-3322
Phone (865) 338-5800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606002533 TX Practitioner - Physician Assistant 6507376795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Associates of West Houston PLLCGroup PAC ID 6800056177, 125 clinicians

Practice addresses (Care Compare)

15200 Southwest Fwy
Suite 290
Sugar Land, TX 77478-3866
Phone (281) 980-2010

504 Medical Ctr Blvd
Conroe, TX 77304-2808
Phone (936) 539-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18939TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Jan 20, 2026 Accepting new patients
DCS Medical PA CurrentSince Jan 20, 2026 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

Interoperability endpoints

  • Direct secure messaging: robert.sari@hca9.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1922812387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "936-539-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "936-539-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9737 Cogdill Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379323322",
            "country_code": "US",
            "telephone_number": "865-338-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARI",
        "first_name": "ROBERT",
        "middle_name": "RUSSELL",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.