SANJIV HARPAVAT MD, PHD
NPI 1497000996
Pediatrics - Pediatric Gastroenterology in Houston, TX

Active since July 20, 2012PECOS EnrolledAccepts Medicare Assignment
6701 FANNIN ST, HOUSTON, TX 77030(832) 824-1000 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sanjiv Harpavat Md, Phd NPPES

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

SANJIV HARPAVAT MD, PHD (NPI 1497000996) is an individual pediatric gastroenterology provider in Houston, Texas, licensed in Texas (N5708) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2006).

NPPES Registry Identity

NPI1497000996
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameSANJIV HARPAVATCredential: MD, PHD
Location Address6701 FANNIN STHouston, TX 77030-2608
Mailing Address2 Greenway Plz Ste 300Houston, TX 77046-0207
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2006
Enumeration DateJuly 20, 2012
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1497000996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · N5708
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
6701 FANNIN ST, Houston, TX 77030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjiv Harpavat Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890009823
PECOS Enrollment IDI20150804003904
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sanjiv Harpavat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Developmental - Behavioral Pediatrics)
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Hematology-Oncology)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Pediatrics (Neonatal-Perinatal Medicine)
6701 FANNIN ST
HOUSTON, TX 77030
Nurse Practitioner
6701 FANNIN ST
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6701 FANNIN ST
HOUSTON, TX 77030

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 Sanjiv Harpavat's NPI number?

The NPI number for Sanjiv Harpavat is 1497000996. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Where is Sanjiv Harpavat located?

Sanjiv Harpavat practices at 6701 Fannin St, Houston, TX 77030. The listed phone number is (832) 824-1000.

What is Sanjiv Harpavat's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Sanjiv Harpavat enrolled in Medicare?

Yes. Sanjiv Harpavat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sanjiv Harpavat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjiv Harpavat reassigns Medicare benefits to 2 organizations: Texas Children's Physician Group (Houston, TX) and Baylor College Of Medicine (Houston, TX). Each 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 Sanjiv Harpavat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjiv Harpavat accept?

Health plans from Moda Health Plan, Inc. list Sanjiv Harpavat 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 Sanjiv Harpavat was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.