Active NPI
Raja Naidu, MD
- Cardiovascular Disease Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- K1267
- Practice address
- 605 E 4TH St
Suite 203
Odessa, TX 79761-5100 - Phone
- (432) 617-8329
- Fax
- (432) 339-8454
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | K1267 | TX | Primary |
Addresses
Primary practice location
605 E 4TH St
Suite 203
Odessa, TX 79761-5100
Mailing address
605 E 4TH St
Suite 203
Odessa, TX 79761-5100
Phone (432) 617-8329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151043001 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090219000279 | TX | Practitioner - Cardiovascular Disease (Cardiology) | 0648180141 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Texas Southwestern Medical School at Dallas, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Big Bend Medical Group
Practice addresses (Care Compare)
1608 W FM
Big Spring, TX 79720-4113
1608 W FM 700
Big Spring, TX 79720-4113
4911 Andrews Hwy
Midland, TX 79703-4507
500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-4380
520 E 6TH St
Odessa, TX 79761-4527
Phone (432) 582-8535
605 E 4TH St
Odessa, TX 79761-5100
Hospital & facility affiliations
- Odessa Regional Medical Center
- Midland Memorial Hospital
- Medical Center Hospital
- Winkler County Memorial Hospital
- Ward Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 45 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1267 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Bend Medical Group | Current | Accepting new patients | |
| Big Bend Medical Group | Current | Accepting new patients | |
| Odessa Regional Hospital LP | Past | Accepting new patients |
Locations
1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700
4911 Andrews Hwy
Ste B
Midland, TX 79703
Phone (432) 620-8669
4911 Andrews Hwy
Ste A
Midland, TX 79703
Phone (432) 689-0210
400 S Ike Ave
Monahans, TX 79756
Phone (432) 617-8329
605 E 4th St
Ste 203
Odessa, TX 79761
Phone (432) 614-6950
605 E 4th St
Ste 300
Odessa, TX 79761
Phone (432) 337-4347
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929
420 E 6th St
Ste 206
Odessa, TX 79761
Phone (432) 582-8480
7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048
Interoperability endpoints
- raja.naidu.1@1603.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Big Spring, TX
- NPI 1790592004
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1801852736
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1124095161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E 4TH ST",
"address_2": "SUITE 203",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615100",
"telephone_number": "432-617-8329",
"fax_number": "432-339-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E 4TH ST",
"address_2": "SUITE 203",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615100",
"telephone_number": "432-617-8329",
"fax_number": "432-339-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIDU",
"first_name": "RAJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K1267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151043001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.