Individual provider Active NPI

Lisa Sachdev, D.O., P.A.,

  • Family Medicine Physician
  • Friendswood, TX
National Provider Identifier
1952301418
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5624 Issued in TX
Practice address
119 W Parkwood Ave
Friendswood, TX 77546-5420
Phone
(281) 542-7800
Fax
(281) 542-7731
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5624 TX Primary

Addresses

Primary practice location

119 W Parkwood Ave
Friendswood, TX 77546-5420

Mailing address

671 Cumberland Ridge LN
League City, TX 77573-4886
Phone (346) 810-0836

Other identifiers 2

IdentifierTypeStateIssuer
159641301MedicaidTX
0008JUOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
K5624TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa L Sachdev DO, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1952301418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 CUMBERLAND RIDGE LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734886",
            "telephone_number": "346-810-0836",
            "fax_number": "281-542-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W PARKWOOD AVE",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465420",
            "telephone_number": "281-542-7800",
            "fax_number": "281-542-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEV",
        "first_name": "LISA",
        "credential": "D.O., P.A.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159641301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008JU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.