Organization Active NPI

Regional Digestive Consultants PA

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1164660890
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
L1801 Issued in TX
Legal business name
REGIONAL DIGESTIVE CONSULTANTS PA
Practice address
920 Medial Plaza Dr
Ste 480
Shenandoah, TX 77380-3259
Phone
(281) 528-1511
Fax
(281) 419-8485
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Shailaja Behara, MDNPI 1255318044
Title
President/Owner
Phone
(281) 528-1511

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
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X L1801 TX Primary

Addresses

Primary practice location

920 Medial Plaza Dr
Ste 480
Shenandoah, TX 77380-3259

Mailing address

PO Box 132889
The Woodlands, TX 77393-2889
Phone (281) 528-1511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090323000217 TX Part B Supplier - Clinic/Group Practice 9830256619 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Humble, TX; Shenandoah, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Regional Digestive Consultants PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1164660890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132889",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932889",
            "telephone_number": "281-528-1511",
            "fax_number": "281-419-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDIAL PLAZA DR",
            "address_2": "STE 480",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803259",
            "telephone_number": "281-528-1511",
            "fax_number": "281-419-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIGESTIVE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BEHARA",
        "authorized_official_first_name": "SHAILAJA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-528-1511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L1801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.