Organization Active NPI

Sevak Ohanian MD PA

  • Neurology Physician
  • Katy, TX
National Provider Identifier
1962529115
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K5645 Issued in TX
Legal business name
SEVAK OHANIAN MD PA
Practice address
411 Park Grove LN Ste 510
Katy, TX 77450-1575
Phone
(713) 461-7878
Fax
(713) 461-7877
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Brenda Perales
Title
Office Manager
Phone
(713) 461-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X K5645 TX Primary

Addresses

Primary practice location

411 Park Grove LN Ste 510
Katy, TX 77450-1575

Mailing address

411 Park Grove LN Ste 510
Katy, TX 77450-1575
Phone (713) 461-7878

Other identifiers 2

IdentifierTypeStateIssuer
182267801MedicaidTX
0047MYOtherTXBCBS

Other names 1

  • Town & Country Neurology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000501 TX Part B Supplier - Clinic/Group Practice 1254359789 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory
Tax ID family
Therasys Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10575 Katy Fwy
Ste 425
Houston, TX 77024
Phone (713) 461-7878

411 Park Grove Dr
Ste 510
Katy, TX 77450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1962529115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN STE 510",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501575",
            "telephone_number": "713-461-7878",
            "fax_number": "713-461-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN STE 510",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501575",
            "telephone_number": "713-461-7878",
            "fax_number": "713-461-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVAK OHANIAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-461-7878"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K5645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182267801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0047MY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town & Country Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.