Individual ProviderKoji SasakiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1515 Holcombe Blvd, Houston, TX 77030-4000(713) 792-6161(646) 714-1256PECOS EnrollmentBased on the most recent information from CMS, provider Koji Sasaki is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023318284Provider TypeIndividualFull NameSasaki, KojiTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/21/2010Last Updated10/4/2017Contact InformationPractice LocationPractice Address1515 Holcombe Blvd, Houston, TX 77030-4000Phone(713) 792-6161FaxUnlisted FaxMailing LocationMailing AddressPO Box 4439, Houston, TX 77210-4439Phone(646) 714-1256FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseP9119Texas