SUMAIR SACHWANI
NPI 1700437795
Nurse Practitioner - Family in Sugar Land, TX

Active since September 22, 2019PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
16515 LEXINGTON BLVD, SUGAR LAND, TX 77479(281) 274-7000 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 11, 2022, Sep 20, 2021, Sep 17, 2021 and 2 more (5 updates tracked since 2019).

About Sumair Sachwani NPPES

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

SUMAIR SACHWANI (NPI 1700437795) is an individual family provider in Sugar Land, Texas, licensed in Texas (AP145065) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700437795
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSUMAIR SACHWANI
Location Address16515 LEXINGTON BLVDSugar Land, TX 77479-2310
Mailing Address16515 Lexington BlvdSugar Land, TX 77479-2310 · (281) 274-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 22, 2019
Last NPPES UpdateFebruary 11, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
NPI 1700437795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP145065
16515 LEXINGTON BLVD, Sugar Land, TX 77479

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sumair Sachwani 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 ID6406260439
PECOS Enrollment IDI20210202001940
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

Other Providers at the Same Location NPPES 13

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

Pharmacy
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Nurse Practitioner (Family)
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Nurse Practitioner (Family)
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Pharmacist
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Pharmacist
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Pharmacist
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Nurse Practitioner
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479
Nurse Practitioner (Family)
16515 LEXINGTON BLVD
SUGAR LAND, TX 77479

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 Sumair Sachwani's NPI number?

The NPI number for Sumair Sachwani is 1700437795. It was assigned to this individual provider in the NPPES registry on September 22, 2019.

Where is Sumair Sachwani located?

Sumair Sachwani practices at 16515 Lexington Blvd, Sugar Land, TX 77479. The listed phone number is (281) 274-7000.

What is Sumair Sachwani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sumair Sachwani enrolled in Medicare?

Yes. Sumair Sachwani 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.

What insurance does Sumair Sachwani accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Sumair Sachwani 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 Sumair Sachwani was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.