Individual provider Active NPI

Singaraju Katari, M.D.

  • Pediatrics Physician
  • Livingston, TX
National Provider Identifier
1013912245
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2363 Issued in TX
Practice address
604 S Washington Ave
Livingston, TX 77351-3451
Phone
(936) 327-8661
Fax
(936) 327-3131
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L2363 TX Primary

Addresses

Primary practice location

604 S Washington Ave
Livingston, TX 77351-3451

Mailing address

1401 Andover LN
Livingston, TX 77351-2685
Phone (936) 327-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000205 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0941280895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2363TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camino Real Emergency Physicians PLLC Past Accepting new patients
Sr Health Care PA Pediatrics PastSince Jul 1, 2006 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013912245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ANDOVER LN",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512685",
            "telephone_number": "936-327-8661",
            "fax_number": "936-327-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513451",
            "telephone_number": "936-327-8661",
            "fax_number": "936-327-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARI",
        "first_name": "SINGARAJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.