Individual provider Active NPI

Pratap Agusala, M.D.

  • Interventional Cardiology Physician
  • Shenandoah, TX
National Provider Identifier
1215040779
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
N8751 Issued in TX
Practice address
255 Ed English Dr Ste B
Shenandoah, TX 77385-8027
Phone
(281) 890-4886
Fax
(281) 894-2247
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X N8751 TX
Interventional Cardiology Physician 207RI0011X N8751 TX Primary

Addresses

Primary practice location

255 Ed English Dr Ste B
Shenandoah, TX 77385-8027

Mailing address

255 Ed English Dr Ste B
Shenandoah, TX 77385-8027
Phone (281) 890-4886

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
I20110914000323 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698772275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cyfair Cardiology Assoc PAGroup PAC ID 3971574682, 2 clinicians

Practice addresses (Care Compare)

255 Ed English Dr
Suite B
Shenandoah, TX 77385-8027
Phone (281) 890-4886

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8751TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Imaging Inc CurrentSince Feb 1, 2023 Accepting new patients
Cyfair Cardiology Assoc PA Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients

Locations

11111 Jones Rd
Ste 1
Houston, TX 77070
Phone (281) 808-7381

255 Ed English Dr
Ste B
Shenandoah, TX 77385
Phone (281) 890-4886

Interoperability endpoints

  • Direct secure messaging: pagusala@1686.securemail.prognocis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1215040779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE B",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858027",
            "telephone_number": "281-890-4886",
            "fax_number": "281-894-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ED ENGLISH DR STE B",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858027",
            "telephone_number": "281-890-4886",
            "fax_number": "281-894-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSALA",
        "first_name": "PRATAP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N8751",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N8751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.