Active NPI
Richmond Gastroenterology Associates, PLLC
- Gastroenterology Physician
- Richmond, TX
National Provider Identifier
1174848428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- RICHMOND GASTROENTEROLOGY ASSOCIATES, PLLC
- Practice address
- 1601 Main St
Ste 401
Richmond, TX 77469-3247 - Phone
- (281) 342-9530
- Fax
- (281) 342-9564
- NPI assigned
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kumara S Peddamatham, M.D.
- Title
- Partner
- Phone
- (281) 342-9530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | TX | Primary |
Addresses
Primary practice location
1601 Main St
Ste 401
Richmond, TX 77469-3247
Mailing address
1601 Main St
Ste 401
Richmond, TX 77469-3247
Phone (281) 342-9530
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082TV | Other | TX | BCBS |
| 215507901 | Medicaid | TX | |
| 45D0495676 | Other | TX | CLIA HISTOLOGY CERTIFICATE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424822400000",
"number": "1174848428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MAIN ST",
"address_2": "STE 401",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693247",
"telephone_number": "281-342-9530",
"fax_number": "281-342-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MAIN ST",
"address_2": "STE 401",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693247",
"telephone_number": "281-342-9530",
"fax_number": "281-342-9564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND GASTROENTEROLOGY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-30",
"last_updated": "2015-02-25",
"status": "A",
"authorized_official_last_name": "PEDDAMATHAM",
"authorized_official_first_name": "KUMARA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "281-342-9530",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0082TV",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215507901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA HISTOLOGY CERTIFICATE",
"identifier": "45D0495676",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
- Richmond Dental Care
- Richmond Emergency Medicine Associates PA
- Richmond Ep PLLC
- Richmond Eye Care PLLC
- Richmond Family Chiropractic LLC
- Richmond Gi Pathology PLLC
- Richmond Healthcare Supplies, Inc
- Richmond Home Health Care Providers LLC
- Richmond Landing Family Dentistry PA
- Richmond Medical Clinic Inc PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.