Active NPI
Pratap Agusala, M.D.
- Interventional Cardiology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- N8751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110914000323 | TX | Practitioner - Cardiovascular Disease (Cardiology) | 5698772275 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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 PA
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
- Houston Methodist Willowbrook Hospital
- Houston Methodist Cypress Hospital
- Houston Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8751 | TX | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Imaging Inc | Current | Accepting new patients | |
| Cyfair Cardiology Assoc PA | Cardiovascular Disease | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Shenandoah, TX
- NPI 1366464273
Cardiovascular Disease, TX
-
- Mobile Radiology Clinic/Center
- Oak Brook Terrace, IL
- NPI 1770830606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.