Rajendra Amin, MD
Individual provider Active NPI Anesthesiology Physician · Oklahoma City, OK
NPI 1104821792 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1104821792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 11099 (OK)
- Practice address
- 1044 S.W. 44TH St.
Oklahoma City, OK 73109 - Phone
- (405) 631-4263
- Fax
- (405) 631-4820
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1972
- Medicare assignment
- May accept Medicare assignment
- Group practices
- DFW Oba PLLC
Seva Anesthesia Services TX PLLC
Prestonwood Anesthesia Associates PA
Practice addresses (Care Compare)
13080 Dallas Pkwy
Suite 310
Frisco, TX 75033-4242
Phone (469) 269-1060
1854 Lakepointe Dr
Lewisville, TX 75057-6442
Phone (214) 306-4116
2501 E Hebron Pkwy
Suite 100C
Carrollton, TX 75010-4468
Phone (972) 300-0600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921000962 | OK | Practitioner - Anesthesiology | 9436107018 | |
| I20220112002911 | TX | Practitioner - Anesthesiology | 9436107018 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11099 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonax Anesthesia PLLC | Anesthesiology | Current |
Accepting new patients |
| Seva Anesthesia Services TX PLLC | Anesthesiology | Current |
Accepting new patients |
| Prestonwood Anesthesia Associates PA | Anesthesiology | Current |
Accepting new patients |
| DFW Oba PLLC | Anesthesiology | Current |
Accepting new patients |
| Texas Anesthesia Partners, PLLC | Anesthesiology | Past |
Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
2501 E Hebron Pkwy
Ste 100C
Carrollton, TX 75010
Phone (972) 300-0600
13080 Dallas Pkwy
Ste 310
Frisco, TX 75033
Phone (469) 269-1060
1854 Lakepointe Dr
Lewisville, TX 75057
Phone (214) 306-4116
400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541
990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350
2118 E State Highway 114
Southlake, TX 76092
Phone (817) 488-0410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11099 | TX | |
| Anesthesiology Physician | 207L00000X | 11099 | OK | Yes |
Addresses
Primary practice location
1044 S.W. 44TH St.
Oklahoma City, OK 73109
Mailing address
1044 S.W. 44TH St.
Oklahoma City, OK 73109
Phone (405) 631-4263
Other providers in Oklahoma City, OK
- Azhar Amil
- Amin Pakzad Dentistry PLLC
- Adeet A Amin
- Ali Amin
- Janki Dhirubhai Amin
- Amira Voice LLC
- William E Amis
- Aml Associates Counseling Services Inc.
- Paige Marie Ammerman
- Barry J Amos
All providers in Oklahoma City, OK · Anesthesiology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.