SACHU SAM PMHNP-BC
NPI 1811858004
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Active since November 18, 2025PECOS EnrolledAccepts Medicare Assignment
4413 BORA BORA LN, HOUSTON, TX 77045(713) 578-0655 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sachu Sam Pmhnp-bc NPPES

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

SACHU SAM PMHNP-BC (NPI 1811858004) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (1217505) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811858004
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSACHU SAMCredential: PMHNP-BC
Location Address4413 BORA BORA LNHouston, TX 77045-1735
Mailing Address4413 Bora Bora LnHouston, TX 77045-1735 · (713) 578-0655
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1811858004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1217505
4413 BORA BORA LN, Houston, TX 77045

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Sachu Sam Pmhnp-bc 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 ID6305327255
PECOS Enrollment IDI20260227002573
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 Sachu Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
12234 SHADOW CREEK PKWY, BUILDING 4 STE 104
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
  • 19 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77045 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

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 Sachu Sam's NPI number?

The NPI number for Sachu Sam is 1811858004. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Sachu Sam located?

Sachu Sam practices at 4413 Bora Bora Ln, Houston, TX 77045. The listed phone number is (713) 578-0655.

What is Sachu Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sachu Sam enrolled in Medicare?

Yes. Sachu Sam 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 organization bills Medicare for Sachu Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sachu Sam reassigns Medicare benefits to Houston Psychiatry Healthcare PA (Pearland, 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 Sachu Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sachu Sam accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Sachu Sam 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.

Is Sachu Sam affiliated with any hospitals?

According to CMS data, Sachu Sam is affiliated with Hca Houston Healthcare Southeast.

When was this NPI record last updated?

The NPPES record for Sachu Sam was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.