SUGAR LAND MED PED CLINIC, P.A.
NPI 1124140900
Family Medicine in Sugar Land, TX

Active since April 04, 2007
3533 TOWN CENTER BLVD S, # 100, SUGAR LAND, TX 77479(281) 491-2555(281) 491-2554 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sugar Land Med Ped Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUGAR LAND MED PED CLINIC, P.A. (NPI 1124140900) is a healthcare organization registered as a family medicine in Sugar Land, Texas and active in the NPI registry since April 2007. The organization lists Subodh Bhuchar, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1124140900
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUGAR LAND MED PED CLINIC, P.A.
Location Address3533 TOWN CENTER BLVD S, # 100Sugar Land, TX 77479-1454
Mailing Address3533 Town Center Blvd S, # 100Sugar Land, TX 77479-1454 · (281) 491-2555 · Fax (281) 491-2554
Fax(281) 491-2554
Organization SubpartNo
Authorized OfficialSubodh BhucharPhysician Owner · (281) 491-2555
Enumeration DateApril 4, 2007
Last NPPES UpdateNovember 5, 2007
✔ NPI 1124140900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H7389
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License H7389 (TX)
3533 TOWN CENTER BLVD S, Sugar Land, TX 77479

Other Identifiers 2

Medicare UPINE57348TX
Medicare ID-Type Unspecified00993NTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sugar Land Med Ped Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20051116000972Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sugar Land Med Ped Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1629082417
3533 TOWN CENTER BLVD S STE 100
Sugar Land, TX 77479
(281) 491-2555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0979810

Sugar Land Med - Ped Clinic, PA · Sugar Land, TX
Expired · Oct 31, 2026
CLIA Number45D0979810
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorSubodh K. Bhuchar
Laboratory Phone(281) 491-2555
Laboratory LocationSugar Land Med - Ped Clinic, PA3533 Town Center Blvd South, Sugar Land, TX 77479
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sugar Land Med Ped Clinic, P.A.'s NPI number?

The NPI number for Sugar Land Med Ped Clinic, P.A. is 1124140900. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Sugar Land Med Ped Clinic, P.A. located?

Sugar Land Med Ped Clinic, P.A. is located at 3533 Town Center Blvd S # 100, Sugar Land, TX 77479. The listed phone number is (281) 491-2555.

What is Sugar Land Med Ped Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sugar Land Med Ped Clinic, P.A. enrolled in Medicare?

Yes. Sugar Land Med Ped Clinic, P.A. is registered in the Medicare PECOS enrollment system.

When is Sugar Land Med Ped Clinic, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sugar Land Med Ped Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sugar Land Med Ped Clinic, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sugar Land Med Ped Clinic, P.A. accept?

Health plans from WellPoint list Sugar Land Med Ped Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sugar Land Med Ped Clinic, P.A. was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.