Active NPI
Subramanya Vara Prasad Gajaraju Venkata, M.D
- Interventional Cardiology Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- R2337
- Practice address
- 209 Gaslight Blvd
Lufkin, TX 75904-3134 - Phone
- (936) 632-8787
- Fax
- (936) 637-7841
- NPI assigned
- Jul 16, 2009
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R2337 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | R2337 | TX | |
| Interventional Cardiology Physician | 207RI0011X | R2337 | TX | Primary |
Addresses
Primary practice location
209 Gaslight Blvd
Lufkin, TX 75904-3134
Mailing address
310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone (936) 632-8787
Other practice location 1
310 Gaslight Blvd
Lufkin, TX 75904-3133
Phone (936) 632-8787
Other practice location 2
1 Medical Center Blvd
Lufkin, TX 75904-3173
Phone (936) 631-5600
Other practice location 3
505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 632-8787
Other practice location 4
1105 W Frank Ave
Lufkin, TX 75904-3303
Phone (936) 632-8787
Other practice location 5
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 632-8787
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Gaslight Blvd
Lufkin, TX 75904-3134
Phone (936) 632-8787
Hospital & facility affiliations
- CHI St Lukes Health Memorial Lufkin
- Woodland Heights Medical Center
- Nacogdoches Memorial Hospital
- Nacogdoches Medical Center
- Houston Methodist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 17 |
| Pacemaker insertion or repair | 66 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Cardiovascular Disease | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Baylor St. Luke's Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Vivek Mangla, MD PC | Cardiovascular Disease | Current | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575
1 Medical Center Blvd
Lufkin, TX 75904
Phone (936) 631-5600
1105 W Frank Ave
Ste 110
Lufkin, TX 75904
Phone (936) 634-1620
209 Gaslight Blvd
Lufkin, TX 75904
310 Gaslight Blvd
Lufkin, TX 75904
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
710 Gaslight Blvd
Ste A
Lufkin, TX 75904
Phone (806) 928-5053
710 Gaslight Blvd
Ste B
Lufkin, TX 75904
Phone (936) 632-4042
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500
17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721
17521 St Lukes Way
Ste 180
The Woodlands, TX 77384
Phone (281) 794-4062
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIHBCA
- subramanyagajaraju.venkata.p1@direct.hiet.nextgenshare.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
Cardiovascular Disease
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Cardiovascular Disease Physician
- Lufkin, TX
- NPI 1942479290
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba NCHD Memorial Hospital
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
-
dba Woodland Heights Medical Center
- General Acute Care Hospital
- Lufkin, TX
- NPI 1487607792
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1184854721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043133",
"telephone_number": "936-632-8787",
"fax_number": "936-637-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043134",
"telephone_number": "936-632-8787",
"fax_number": "936-637-7841"
}
],
"practiceLocations": [
{
"address_1": "310 Gaslight Blvd",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759043133",
"country_code": "US",
"telephone_number": "936-632-8787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759043173",
"country_code": "US",
"telephone_number": "936-631-5600",
"fax_number": "936-631-5607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 S John Redditt Dr",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759043120",
"country_code": "US",
"telephone_number": "936-632-8787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 W Frank Ave",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759043303",
"country_code": "US",
"telephone_number": "936-632-8787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4920 NE Stallings Dr",
"address_purpose": "LOCATION",
"city": "Nacogdoches",
"state": "TX",
"postal_code": "759651254",
"country_code": "US",
"telephone_number": "936-632-8787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAJARAJU VENKATA",
"first_name": "SUBRAMANYA",
"middle_name": "VARA PRASAD",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "R2337",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "R2337",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "R2337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.