Individual provider Active NPI

Raghunandan Muppidi, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1164478301
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
Q9205 Issued in TX
Practice address
1140 Westmont Dr Ste 320
Houston, TX 77015-4368
Phone
(713) 899-0298
Fax
(806) 705-8029
NPI assigned
May 26, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E4546 AR
Cardiovascular Disease Physician 207RC0000X Q9205 TX Primary

Addresses

Primary practice location

1140 Westmont Dr Ste 320
Houston, TX 77015-4368

Mailing address

1140 Westmont Dr Ste 320
Houston, TX 77015-4368
Phone (713) 899-0298

Other identifiers 1

IdentifierTypeStateIssuer
362469402MedicaidTX

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
I20160913000207 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4688692916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Heart Health PLLCGroup PAC ID 5597129916, 5 clinicians

Practice addresses (Care Compare)

1140 Westmont Dr
Suite 320
Houston, TX 77015-4368
Phone (713) 888-0298

6560 Fannin St
Suite 1630
Houston, TX 77030-2734
Phone (713) 804-3276

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9205TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Heart Health PLLC CurrentSince Aug 1, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Ashtabula County, LTD Internal Medicine Past Accepting new patients

Locations

4201 Garth Rd
Ste 318
Baytown, TX 77521
Phone (281) 427-5223

1140 Westmont Dr
Ste 320
Houston, TX 77015
Phone (713) 637-6320

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

6560 Fannin St
Ste 1630
Houston, TX 77030
Phone (713) 790-1775

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHBCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHBCDD/Endpoint/GHBCDD

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1164478301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154368",
            "telephone_number": "713-899-0298",
            "fax_number": "806-705-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154368",
            "telephone_number": "713-899-0298",
            "fax_number": "806-705-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPPIDI",
        "first_name": "RAGHUNANDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E4546",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q9205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362469402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.