Organization Active NPI

Rajesh S Padmanabhan MD PA

  • Specialist
  • Arlington, TX
National Provider Identifier
1083895981
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RAJESH S PADMANABHAN MD PA
Practice address
515 W Mayfield Rd Ste 205
Arlington, TX 76014-2084
Phone
(817) 466-7400
NPI assigned
Nov 19, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Rosary Marley
Title
Office Manager
Phone
(817) 466-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

515 W Mayfield Rd Ste 205
Arlington, TX 76014-2084

Mailing address

515 W Mayfield Rd Ste 205
Arlington, TX 76014-2084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127001075 TX Part B Supplier - Clinic/Group Practice 3678523552 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

515 W Mayfield Rd
Ste 205
Arlington, TX 76014
Phone (608) 406-6869

2500 W Pleasant Run Rd
Ste 200
Lancaster, TX 75146
Phone (214) 881-6572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1083895981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 205",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD STE 205",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142084",
            "telephone_number": "817-466-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESH S PADMANABHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "ROSARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-466-7400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.