Individual provider Active NPI

Rajiv Lal, MD

  • Nephrology Physician
  • Cypress, TX
National Provider Identifier
1194757534
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M3288 Issued in TX
Practice address
21212 North West Freeway 355
Cypress, TX 77429
Phone
(281) 890-9944
Fax
(281) 890-9955
NPI assigned
Jul 7, 2006
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M3288 TX
Nephrology Physician 207RN0300X M3288 TX Primary

Addresses

Primary practice location

21212 North West Freeway 355
Cypress, TX 77429

Mailing address

411 Park Grove LN Suite 310
Katy, TX 77450-2449
Phone (713) 464-9100

Other identifiers 1

IdentifierTypeStateIssuer
190198501MedicaidTX

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
I20061002000242 TX Practitioner - NephrologyPractitioner - Internal Medicine 4688679327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rahul Prakash, M.D., P.a.Group PAC ID 2264322189, 12 clinicians

Practice addresses (Care Compare)

21212 Northwest Fwy 355
Renal Clinic of Houston
Cypress, TX 77429-5890
Phone (281) 890-9944

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Prakash, M.D., P.a. CurrentSince Jul 1, 2006 Accepting new patients
Rahul Prakash, M.D., P.a. Specialist CurrentSince Jul 1, 2006 Accepting new patients
Cardiovascular Care Providers, Inc. Specialist Past Accepting new patients

Locations

21212 Northwest Fwy
Ste 355
Cypress, TX 77429
Phone (281) 890-9944

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

27700 NW Freeway
Ste 330
Cypress, TX 77433
Phone (281) 351-4911

10726 Huffmeister Rd
Ste 250
Houston, TX 77065
Phone (281) 890-9944

18220 Tomball Pkwy
Ste 350
Houston, TX 77070
Phone (281) 477-3393

2222 Greenhouse Rd
Ste 1500
Houston, TX 77084
Phone (713) 464-9100

902 Frostwood Dr
Ste 165
Houston, TX 77024
Phone (713) 464-9100

902 Frostwood Dr
Ste 245
Houston, TX 77024

Organizations & group practices 3

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 11

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1194757534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN SUITE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502449",
            "telephone_number": "713-464-9100",
            "fax_number": "713-468-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTH WEST FREEWAY 355",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-890-9944",
            "fax_number": "281-890-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAL",
        "first_name": "RAJIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M3288",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190198501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.