Organization Active NPI

Prejith Raj MD PLLC

  • Nephrology Physician
  • Little Elm, TX
National Provider Identifier
1235774472
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PREJITH RAJ MD PLLC
Practice address
1324 Torrent Dr
Little Elm, TX 75068-0859
Phone
(972) 824-7724
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Prejith Rajendran
Title
MD
Phone
(972) 824-7724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1324 Torrent Dr
Little Elm, TX 75068-0859

Mailing address

1324 Torrent Dr
Little Elm, TX 75068-0859
Phone (972) 824-7724

Other identifiers 1

IdentifierTypeStateIssuer
1255758298OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1235774472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 TORRENT DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680859",
            "telephone_number": "972-824-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 TORRENT DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680859",
            "telephone_number": "972-824-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREJITH RAJ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "RAJENDRAN",
        "authorized_official_first_name": "PREJITH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-824-7724"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255758298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.