Individual provider Active NPI

Rajeev S. Pethe, M.D.

  • Emergency Medicine Physician
  • Conroe, TX
National Provider Identifier
1114965233
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K0995 Issued in TX
Practice address
1169 Grand Central Pkwy
Conroe, TX 77304-3185
Phone
(936) 525-3600
Fax
(936) 525-3624
NPI assigned
Jun 2, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K0995 TX Primary

Addresses

Primary practice location

1169 Grand Central Pkwy
Conroe, TX 77304-3185

Mailing address

1169 Grand Central Pkwy
Conroe, TX 77304-3185
Phone (936) 525-3600

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
I20040612000786 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 6800782111 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians
The Urgent Care Associates of Texas PLLCGroup PAC ID 1355665795, 22 clinicians

Practice addresses (Care Compare)

1201 W
38TH
Austin, TX 78705-1006
Phone (512) 324-1000

32784 FM 2978 Rd
Magnolia, TX 77354-6039

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jun 10, 2011 Accepting new patients
Baylor College of Medicine CurrentSince Jun 10, 2011 Accepting new patients
The Urgent Care Associates of Texas, PLLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Woodlands Lone Star Emergency Physicians Group, PLLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince May 22, 2024 Accepting new patients
Sam Houston State University Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
Woodlands Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Emergency Medicine Past Accepting new patients
America's ER Site 001, LLC Past Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients
Sam Houston State University PastSince Nov 12, 2019 Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

32784 FM 2978 Rd
Magnolia, TX 77354
Phone (281) 789-3400

32784 FM 2978 Rd
#B
Magnolia, TX 77354
Phone (281) 789-3400

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1114965233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 GRAND CENTRAL PKWY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043185",
            "telephone_number": "936-525-3600",
            "fax_number": "936-525-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 GRAND CENTRAL PKWY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043185",
            "telephone_number": "936-525-3600",
            "fax_number": "936-525-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETHE",
        "first_name": "RAJEEV",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K0995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.