Individual provider Active NPI

Abraham Rajan, MD

  • Nephrology Physician
  • Temple, TX
National Provider Identifier
1366425241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M3064 Issued in TX
Practice address
2915 Saulsbury Dr
Temple, TX 76504-2207
Phone
(254) 742-1162
Fax
(254) 742-0462
NPI assigned
Nov 23, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M3064 TX Primary

Addresses

Primary practice location

2915 Saulsbury Dr
Temple, TX 76504-2207

Mailing address

2329 N 39TH St
Waco, TX 76708-3003
Phone (254) 752-5503

Other identifiers 1

IdentifierTypeStateIssuer
179087501MedicaidTX

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
I20060223000573 TX Practitioner - NephrologyPractitioner - Internal Medicine 2668493313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Texas Nephrology Associates, P.a.Group PAC ID 7618948571, 14 clinicians

Practice addresses (Care Compare)

1507 Hillview Dr
Hillsboro, TX 76645-2746
Phone (254) 582-5442

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Nephrology Associates, P.a. Nephrology CurrentSince Feb 1, 2006 Accepting new patients
Mercy Inpatient Medical Associates Inc. PastSince Aug 17, 2020 Accepting new patients

Locations

625 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 690-0613

1507 Hillview Dr
Hillsboro, TX 76645
Phone (254) 582-5442

1202 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-4101

2915 Saulsbury Dr
Temple, TX 76504
Phone (254) 742-1162

5940 Crosslake Pkwy
Waco, TX 76712
Phone (254) 666-2999

2329 N 39th St
Waco, TX 76708
Phone (254) 752-5503

Interoperability endpoints

  • Direct secure messaging: arajan262094@ahs.direct-ci.com
  • Direct secure messaging: arajan75615@direct.acumenmd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366425241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 N 39TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083003",
            "telephone_number": "254-752-5503",
            "fax_number": "254-752-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 SAULSBURY DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765042207",
            "telephone_number": "254-742-1162",
            "fax_number": "254-742-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "ABRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179087501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.