Mahendra Agraharkar, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K6790 Issued in TX

Practice address

212 Gulf Freeway
G-3
League City, TX 77573

Phone

(281) 316-1763

Fax

(281) 316-1385

NPI assigned

Jun 23, 2006

Last updated

Sep 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Space City Associates of NephrologyGroup PAC ID 8820026123, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC Space City Dialysis Dialysis facility, Pasadena, TX, CCN 672859
• DaVita South Shore Dialysis Center Dialysis facility, League City, TX, CCN 672522
• University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
• Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Space City Associates of Nephrology, PA

  • Nephrology Physician
  • Webster, TX
  • NPI 1164645511
  Medicare reassignment Care Compare group NPD Authorized official
• South Shore Dialysis Center LP

  dba South Shore Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • League City, TX
  • NPI 1700840592
  NPD (past)
• Usrc College Partnership LP

  dba Baylor College of Medicine - Scott Street Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1427259399
  NPD (past)
• Usrc Texas City, LLC

  dba U.S. Renal Care Texas City Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Texas City, TX
  • NPI 1306540984
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Space City Dialysis Pasadena - Dsi, LLC

  dba US Renal Care Space City Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, TX
  • NPI 1487105920

  Dialysis facility

  Care Compare affiliation Name & address match
• Houston Methodist St. John Hospital

  dba Houston Methodist Clear Lake Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1952723967
  Care Compare affiliation
• University of Texas Medical Branch at Galveston

  dba University of Texas Medical Branch

  • General Acute Care Hospital
  • Galveston, TX
  • NPI 1548226988
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220745600000",
    "number": "1194751297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CARINA CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732879",
            "telephone_number": "281-554-5445",
            "fax_number": "281-554-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GULF FREEWAY",
            "address_2": "G-3",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "281-316-1763",
            "fax_number": "281-316-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAHARKAR",
        "first_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K6790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117006005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hellen Adedipe, BCBA
• Oreoluwa Anuoluwapo Adegun, D.D.S.
• Adult Psychiatric Clinic
• Advanced Children's Therapy, Inc.
• Advanced Childrens Therapy Group LTD.
• Christina Marie Aguilar, M.S. CCC-SLP
• Krystal Aguilar
• Phillip Mark Aguilar, M.D.
• Shawna Aguilar, RN
• Olive Agumbah, RPH

• Nephrology Physician in League City, TX
• Providers in League City, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2008; 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.

Verify at the official NPI Registry.