NPIMap

Organization Active NPI

Malathi Chamarthi Raju MD PA

  • Nephrology Physician
  • Cleburne, TX
National Provider Identifier
1316596869
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MALATHI CHAMARTHI RAJU MD PA
Practice address
203 Walls Dr Ste 100
Cleburne, TX 76033-7029
Phone
(817) 928-5669
NPI assigned
Sep 7, 2019
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Malathi Chamarthi-Raju, MDNPI 1477716116
Title
Owner
Phone
(817) 928-5669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

203 Walls Dr Ste 100
Cleburne, TX 76033-7029

Mailing address

PO Box 100033
Fort Worth, TX 76185-0033
Phone (817) 928-5669

Other practice location 1

201 Walls Dr
Cleburne, TX 76033-4007
Phone (817) 641-2551

Other identifiers 1

IdentifierTypeStateIssuer
1477716116OtherTXNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1316596869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100033",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761850033",
            "telephone_number": "817-928-5669",
            "fax_number": "817-717-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WALLS DR STE 100",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337029",
            "telephone_number": "817-928-5669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Walls Dr",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760334007",
            "country_code": "US",
            "telephone_number": "817-641-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALATHI CHAMARTHI RAJU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "CHAMARTHI-RAJU",
        "authorized_official_first_name": "MALATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-928-5669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477716116",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.