Individual provider Active NPI

Subramanya Vara Prasad Gajaraju Venkata, M.D

  • Interventional Cardiology Physician
  • Lufkin, TX
National Provider Identifier
1184854721
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
R2337 Issued in TX
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170923000415 TX Practitioner - Interventional CardiologyPractitioner - Cardiac Electrophysiology 5799059176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiac Electrophysiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

209 Gaslight Blvd
Lufkin, TX 75904-3134
Phone (936) 632-8787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair66
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jul 1, 2020 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Baylor St. Luke's Medical Group Cardiovascular Disease CurrentSince Nov 1, 2021 Accepting new patients
Vivek Mangla, MD PC Cardiovascular Disease CurrentSince Jul 3, 2017 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.