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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDWARD J. SEPTIMUS MD
NPI 1609954916
Internal Medicine - Infectious Disease in Sugar Land, TX

Active since November 02, 2006PECOS Enrolled
14023 SOUTHWEST FWY, SUGAR LAND, TX 77478(281) 325-4100(281) 325-4271 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2026, Sep 19, 2024 (2 updates tracked since 2024).

About Edward J. Septimus Md NPPES

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

EDWARD J. SEPTIMUS MD (NPI 1609954916) is an individual infectious disease provider in Sugar Land, Texas, licensed in Texas (D9656) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609954916
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameEDWARD J. SEPTIMUSCredential: MD
Location Address14023 SOUTHWEST FWYSugar Land, TX 77478-3550
Mailing Address930 Frostwood Dr Ste 2.200Houston, TX 77024-2450 · (713) 338-4523 · Fax (713) 338-6500
Phone(281) 325-4100
Fax(281) 325-4271
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1609954916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in TX · D9656✔ Licensed in MT · 10979
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
14023 SOUTHWEST FWY, Sugar Land, TX 77478
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward J. Septimus Md 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 Edward Septimus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hermann Medical Group
17 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750

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 77478 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

MONICA KALRA DO
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
MELISSA AIDA SILVA MD
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (713) 325-4100
NITYA HANNAH VIRIPPIL DO
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
WEN ZHANG M.D.
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4292
MEMORIAL HERMANN HOSPITAL SYSTEM
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 276-2000
LAURA MOORE MD
Family Medicine
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
EMILY JOHNSON
Student in an Organized Health Care Education/Training Program
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100
DR. ANNAMARIA MACALUSO DAVIDSON M.D.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
14023 SOUTHWEST FWY
SUGAR LAND, TX 77478
Fort Bend County (281) 325-4100

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 Edward Septimus's NPI number?

The NPI number for Edward Septimus is 1609954916. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Edward Septimus located?

Edward Septimus practices at 14023 Southwest Fwy, Sugar Land, TX 77478. The listed phone number is (281) 325-4100.

What is Edward Septimus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Edward Septimus enrolled in Medicare?

Yes. Edward Septimus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Septimus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Septimus reassigns Medicare benefits to Memorial Hermann Medical Group (Fulshear, TX). 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 Edward Septimus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Septimus accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Edward Septimus 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 Edward Septimus was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.