DR. SEAN SANKER M.D.
NPI 1598113391
Internal Medicine in Houston, TX

Active since June 02, 2016PECOS Enrolled
1 BAYLOR PLZ, HOUSTON, TX 77030(832) 822-2243 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sean Sanker M.d. NPPES

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

DR. SEAN SANKER M.D. (NPI 1598113391) is an individual internal medicine provider in Houston, Texas, licensed in Rhode Island (LP03738) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598113391
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEAN SANKERCredential: M.D.
Location Address1 BAYLOR PLZHouston, TX 77030-3498
Mailing Address1 Baylor PlzHouston, TX 77030-3498
Sole ProprietorYes
Enumeration DateJune 2, 2016
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1598113391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · LP03738
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License LP03738 (RI)
1 BAYLOR PLZ, Houston, TX 77030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Sanker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sean Sanker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health
409 W BROADWAY
South Boston, MA 02127
  • Reassigned Medicare billing, Massachusetts enrollment
  • 136 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.

General Acute Care Hospital
1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030
Obstetrics & Gynecology
1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030
Hospitalist
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
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 Sean Sanker's NPI number?

The NPI number for Sean Sanker is 1598113391. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Sean Sanker located?

Sean Sanker practices at 1 Baylor Plz, Houston, TX 77030. The listed phone number is (832) 822-2243.

What is Sean Sanker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Sanker enrolled in Medicare?

Yes. Sean Sanker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sean Sanker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Sanker reassigns Medicare benefits to South Boston Community Health Center (South Boston, MA). The 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 Sean Sanker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean Sanker was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.