Individual provider Active NPI

Rajendra Amin, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1104821792
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11099 Issued in 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
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11099 TX
Anesthesiology Physician 207L00000X 11099 OK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000962 OK Practitioner - Anesthesiology 9436107018
I20220112002911 TX Practitioner - Anesthesiology 9436107018 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1972
Medicare assignment
May accept Medicare assignment
Group practices
DFW Oba PLLCGroup PAC ID 0941684963, 20 clinicians
Seva Anesthesia Services TX PLLCGroup PAC ID 0648676726, 3 clinicians
Prestonwood Anesthesia Associates PAGroup PAC ID 1153720610, 5 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11099OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Oba PLLC Anesthesiology CurrentSince Apr 27, 2022 Accepting new patients
Seva Anesthesia Services TX PLLC Anesthesiology CurrentSince Oct 8, 2021 Accepting new patients
Prestonwood Anesthesia Associates PA Anesthesiology CurrentSince Dec 6, 2023 Accepting new patients
Sonax Anesthesia PLLC Anesthesiology CurrentSince Jun 14, 2025 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology PastSince Jan 1, 2017 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1104821792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S.W. 44TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73109",
            "telephone_number": "405-631-4263",
            "fax_number": "405-616-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S.W. 44TH ST.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73109",
            "telephone_number": "405-631-4263",
            "fax_number": "405-631-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RAJENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "11099",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "11099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.