Angleton ER PLLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

ANGLETON ER PLLC

Practice address

1116 E Mulberry St
Angleton, TX 77515-3907

Phone

(949) 848-0911

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Abdulla Kudrath, MDNPI 1437442050

Title

President

Phone

(979) 848-0911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670315

Legal name

ANGLETON ER PLLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Sep 21, 2021

Last certification

Sep 21, 2021

Beds

1

Ownership / control type

Private (not for profit)

Facility address

1116 E Mulberry St
Angleton, TX 77515

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Abdulla Kudrath, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1437442050
  NPD Authorized official

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1356893531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1957",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775161957",
            "telephone_number": "979-848-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 E MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153907",
            "telephone_number": "949-848-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGLETON ER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "KUDRATH",
        "authorized_official_first_name": "ABDULLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-848-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angleton Danbury Hospital District
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• Angleton Danbury Hospital District
• Angleton Family Dental PLLC
• Angleton Health Facilities LP
• Angleton Home Health Inc
• Angleton Isd
• Angleton Loving Care LLC

• Emergency Care Clinic/Center in Angleton, TX
• Providers in Angleton, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.