Individual provider Active NPI

Ragini Miryala, MD

  • Pediatrics Physician
  • Webster, TX
National Provider Identifier
1083802011
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M9507 Issued in TX
Practice address
205 E Medical Center Blvd
Ste B
Webster, TX 77598-4377
Phone
(281) 480-7832
Fax
(281) 480-7504
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 M9507 TX Primary

Addresses

Primary practice location

205 E Medical Center Blvd
Ste B
Webster, TX 77598-4377

Mailing address

205 E Medical Center Blvd Ste B
Webster, TX 77598-4377
Phone (281) 480-7832

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
I20080609000120 TX Practitioner - Pediatric Medicine 0244300861 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9507TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice House Calls LLC CurrentSince Apr 1, 2023 Accepting new patients
Hsa St. Joseph, LLC Past Accepting new patients
Pediatric Consultants, P.a Past Accepting new patients
Advance Pharmacy LLC PastSince Apr 1, 2023 Accepting new patients
SJ Medical Center, LLC Past Accepting new patients

Locations

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

Organizations & group practices 6

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1083802011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MEDICAL CENTER BLVD STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984377",
            "telephone_number": "281-480-7832",
            "fax_number": "281-480-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MEDICAL CENTER BLVD",
            "address_2": "STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984377",
            "telephone_number": "281-480-7832",
            "fax_number": "281-480-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRYALA",
        "first_name": "RAGINI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.