Look up the most recent NPI and PECOS records

Humberto Carlos Sasieta

Internal Medicine

Allopathic & Osteopathic Physicians

6431 Fannin Street, Suite Msb 1.434, Houston, TX 77030

PECOS Enrollment

This provider is enrolled in PECOS as HUMBERTO SASIETA.

Based on the most recent information from CMS, provider Humberto Carlos Sasieta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1780972497
Provider Type
Individual
Full Name
Sasieta, Humberto Carlos
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/14/2011
Last Updated
8/11/2020

Contact Information

Practice Location

6431 Fannin Street, Suite Msb 1.434, Houston, TX 77030

(832) 325-7222

Unlisted Fax

Mailing Location

22710 Professional Dr, Ste 102, Kingwood, TX 77339-6009

(281) 296-8788

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R0119 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License R0119 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License R0119 Texas

Provider Identifiers

ID	Description	Issuer
ID 374653903	Description Medicaid	Issuer Unlisted Texas
ID 374653901	Description Medicaid	Issuer Unlisted Texas
ID 374653902	Description Medicaid	Issuer Unlisted Texas

Humberto Carlos Sasieta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer