NPIMap

Individual provider Active NPI

Raghavendra Girijala

  • Dermatology Physician
  • McKinney, TX
National Provider Identifier
1174084297
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U4512 Issued in TX
Practice address
5236 W University Dr Ste 2200
McKinney, TX 75071-8113
Phone
(469) 800-5325
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X U4512 TX Primary

Addresses

Primary practice location

5236 W University Dr Ste 2200
McKinney, TX 75071-8113

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgirijala483463@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912002036 TX Practitioner - Dermatology 9739414723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of tissue1-10
Removal of skin lesions281
Removal of skin cancer46
Removal or shaving of skin growth1-10
Skin biopsy212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U4512TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 25, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 25, 2023 Accepting new patients
Scott & White Clinic Dermatology CurrentSince Jan 3, 2025 Accepting new patients
Scott & White Clinic Dermatology Current Accepting new patients
Healthtexas Provider Network Dermatology Current Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3500 Gaston Ave
Dallas, TX 75246

5236 W University Dr
Ste 220
McKinney, TX 75071

5236 W University Dr
Ste 2200
McKinney, TX 75071
Phone (469) 800-5325

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: rgirijala483463@direct.sw.org

Organizations & group practices 6

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 5

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1174084297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR STE 2200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718113",
            "telephone_number": "469-800-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRIJALA",
        "first_name": "RAGHAVENDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U4512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgirijala483463@direct.sw.org",
            "affiliation": "N",
            "address_1": "5236 W University Dr Ste 2200",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.