Organization Active NPI

Raja Abusharr MD PA

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1144398264
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3126 Issued in TX
Legal business name
RAJA ABUSHARR MD PA
Practice address
10110 Woodlands Pkwy Ste 100
The Woodlands, TX 77382-2902
Phone
(281) 419-6565
Fax
(281) 419-0808
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Dr. Raja Abusharr, M.D.NPI 1215993084
Title
President
Phone
(713) 204-1864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M3126 TX Primary

Addresses

Primary practice location

10110 Woodlands Pkwy Ste 100
The Woodlands, TX 77382-2902

Mailing address

10110 Woodlands Pkwy Ste 100
The Woodlands, TX 77382-2902
Phone (281) 419-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070308000445 TX Part B Supplier - Clinic/Group Practice 3971606195 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

16401 1st St
#200
Splendora, TX 77372
Phone (281) 399-1170

10110 Woodlands Pkwy
Ste 100
The Woodlands, TX 77382
Phone (281) 419-6565

10110 Woodlands Pkwy
The Woodlands, TX 77382
Phone (281) 419-6565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1144398264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 WOODLANDS PKWY STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822902",
            "telephone_number": "281-419-6565",
            "fax_number": "281-419-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 WOODLANDS PKWY STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822902",
            "telephone_number": "281-419-6565",
            "fax_number": "281-419-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA ABUSHARR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "ABUSHARR",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-204-1864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.