Rejeesh Vasudev MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

REJEESH VASUDEV MD PA

Practice address

2110 E Villa Maria Rd
Bryan, TX 77802-2542

Phone

(979) 822-5555

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Rejeesh Vasudev, MDNPI 1083807937

Title

President

Phone

(979) 571-9882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Primrose Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Madisonville, TX
  • NPI 1073902771

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rejeesh Vijaya Vasudev, M.D.

  • Nephrology Physician
  • Bryan, TX
  • NPI 1083807937
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1346874658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 ROCKCLIFFE LOOP",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454853",
            "telephone_number": "979-571-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022542",
            "telephone_number": "979-822-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJEESH VASUDEV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "VASUDEV",
        "authorized_official_first_name": "REJEESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-571-9882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Regan
• Regenerative & Restorative Rehab, PLLC
• Regina V Robertson
• Rehabcare Group East, LLC
• Anum Rehman, MEDICAL ASSISTANT
• Gregory S. Remien, P.A.C.
• Remon Fino, MD, PA
• Renaissance Management Group of Texas
• Renner Chiropractic
• Kayla Renner

• Nephrology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.