Individual provider Active NPI

Radha Ann Tamerisa, M.D.

  • Gastroenterology Physician
  • Katy, TX
National Provider Identifier
1366440653
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
L7210 Issued in TX
Practice address
25230 Kingsland Blvd Ste 102
Katy, TX 77494-2097
Phone
(281) 869-3009
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X L7210 TX Primary

Addresses

Primary practice location

25230 Kingsland Blvd Ste 102
Katy, TX 77494-2097

Mailing address

25230 Kingsland Blvd
Ste 102
Katy, TX 77494-3256
Phone (281) 869-3009

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
I20060905000394 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 0244234201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Regional Gastroenterology Institute PLLCGroup PAC ID 9436417672, 37 clinicians

Practice addresses (Care Compare)

25230 Kingsland Blvd
Suite 102
Katy, TX 77494-2097
Phone (281) 869-3009

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Rehabilitation Hospital Katy Inpatient rehabilitation facility, Katy, TX, CCN 673038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy247
Upper gastrointestinal (GI) endoscopy for acid reflux120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7210TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Gastroenterology Anesthesia Services, PLLC CurrentSince Oct 6, 2015 Accepting new patients
Houston Regional Gastroenterology Institute PLLC Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Radha Tamerisa MD PA Gastroenterology CurrentSince Apr 1, 2017 Accepting new patients
Bios Anesthesia PLLC PastSince May 17, 2019 Accepting new patients

Locations

25230 Kingsland Blvd
Ste 102
Katy, TX 77494
Phone (281) 869-3009

1331 W Grand Pkwy N
Ste 350
Katy, TX 77493
Phone (281) 392-0425

15555 Creek Bend Dr
Ste 200
Sugar Land, TX 77478
Phone (814) 558-4677

15555 Creek Bend Dr
Ste 20
Sugar Land, TX 77478

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCACCD
  • FHIR API: https://api.platform.athenahealth.com/17937/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/15428/brand/1/csg/1/fhir/r4
  • Direct secure messaging: radha.tamerisa@kig.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1366440653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD",
            "address_2": "STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943256",
            "telephone_number": "281-869-3009",
            "fax_number": "832-437-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-869-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMERISA",
        "first_name": "RADHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L7210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.