Rajeev S. Pethe, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

K0995 Issued in TX

Practice address

30 Twilight Glen CT
Spring, TX 77381-4826

Phone

(936) 266-3943

Fax

(360) 323-5965

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

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)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
• CHI St Lukes Lakeside Hospital Hospital, The Woodlands, TX, CCN 670059
• St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Urgent Care Associates of Texas, PLLC

  • Emergency Medicine Physician
  • Magnolia, TX
  • NPI 1235539933
  Medicare reassignment Care Compare group NPD
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  • Family Medicine Physician
  • Houston, TX
  • NPI 1053352914
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group-Houston PLLC

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322
  Medicare reassignment NPD
• Woodlands Lone Star Emergency Physicians Group, PLLC

  • Emergency Medicine Physician
  • Magnolia, TX
  • NPI 1679994941
  Medicare reassignment NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD
• Emcare-Dtxemergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1285709600
  NPD (past)
• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1639154230
  NPD (past)
• Southeast Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1235155102
  NPD (past)
• Woodlands Emergency Physicians, LLP

  • Emergency Medicine Physician
  • The Woodlands, TX
  • NPI 1245265537
  NPD (past)

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

• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation
• St Luke'S Lakeside Hospital, LLC

  • Special Hospital
  • The Woodlands, TX
  • NPI 1184868879
  Care Compare affiliation
• St. Luke'S Community Health Services

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1114965233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TWILIGHT GLEN CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814826",
            "telephone_number": "936-266-3943",
            "fax_number": "360-323-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TWILIGHT GLEN CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814826",
            "telephone_number": "936-266-3943",
            "fax_number": "360-323-5965"
        }
    ],
    "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": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K0995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "122187115",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8B8769",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M3087",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122187110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M7297",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122187107",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114965233",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nafeiza Persaud, MS, LPC, LCDC
• Ashleigh Pete, RN,BSN
• Peter a Johnson MD PA
• Jacob C Peters, DPT
• Kristin M Peterson, OTR/L
• Shernitria Pettit, SLP-ASSISTANT
• Meghan Hannah Pevey
• Duong Thuy Pham, PHARMD
• Phuong Anh Pham
• Tammy Pham, O.D.

• Emergency Medicine Physician in Spring, TX
• Providers in Spring, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.