Individual provider Active NPI

Ranga Reddy Kattegummula, MD

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1275516577
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G6317 Issued in TX
Practice address
1259 FM 1463 Rd Ste 500
Katy, TX 77494-5480
Phone
(713) 429-4550
Fax
(832) 397-6426
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G6317 TX Primary

Addresses

Primary practice location

1259 FM 1463 Rd Ste 500
Katy, TX 77494-5480

Mailing address

8806 N Navarro St Ste 600
Victoria, TX 77904-1564
Phone (361) 485-2695

Other practice location 1

215 Oak Dr S
suite k
Lake Jackson, TX 77566-5629
Phone (979) 297-1652

Other identifiers 1

IdentifierTypeStateIssuer
115821403MedicaidTX

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
I20110304000359 TX Practitioner - Internal Medicine 2264614783 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness Solutions PA CurrentSince Jan 1, 2023 Accepting new patients
Trinity Primary Care PLLC Internal Medicine CurrentSince Oct 4, 2024 Accepting new patients
Ark Health Past Accepting new patients

Locations

1259 FM 1463 Rd
Ste 500
Katy, TX 77494
Phone (361) 237-1072

1259 FM 1463 Rd
Ste 400
Katy, TX 77494
Phone (832) 695-9400

8806 N Navarro St
Ste 600
Victoria, TX 77904
Phone (361) 237-4727

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABFEBA
  • FHIR API: https://api.platform.athenahealth.com/5921/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1275516577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 N NAVARRO ST STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041564",
            "telephone_number": "361-485-2695",
            "fax_number": "361-485-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 500",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945480",
            "telephone_number": "713-429-4550",
            "fax_number": "832-397-6426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Oak Dr S",
            "address_2": "suite k",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665629",
            "country_code": "US",
            "telephone_number": "979-297-1652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTEGUMMULA",
        "first_name": "RANGA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115821403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.