Individual provider Active NPI

Rajgopal R Pakanati, MD

  • Anesthesiology Physician
  • Cleveland, TX
National Provider Identifier
1386723955
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K3376 Issued in TX
Practice address
300 E Crockett St
Cleveland, TX 77327-4029
Phone
(660) 826-5960
Fax
(660) 826-4852
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K3376 TX Primary

Addresses

Primary practice location

300 E Crockett St
Cleveland, TX 77327-4029

Mailing address

74 N Berryline Cir
The Woodlands, TX 77381-4816
Phone (832) 654-5533

Other identifiers 1

IdentifierTypeStateIssuer
149896601MedicaidTX

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
I20080227000029 TX Practitioner - Anesthesiology 6305889510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultimate Anesthesia Services PLLCGroup PAC ID 8921530247, 3 clinicians

Practice addresses (Care Compare)

25312 Interstate 45 N
Spring, TX 77386-1449
Phone (346) 331-2554

Hospital & facility affiliations

  • The Woodlands Specialty Hospital Hospital, Spring, TX, CCN 670267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3376TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Anesthesia Services PLLC Anesthesiology CurrentSince Aug 8, 2024 Accepting new patients
Texas Partners in Hospital Consulting PLLC Anesthesiology CurrentSince Feb 18, 2017 Accepting new patients

Locations

3140 Legacy Dr
Ste 300
Frisco, TX 75034
Phone (972) 864-7353

9720 Coit Rd
Ste 220337
Plano, TX 75025

25312 Interstate 45 N
The Woodlands, TX 77386
Phone (281) 602-8960

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFHBA
  • Direct secure messaging: pakanati.rajgopal.1@11939.direct.athenahealth.com
  • Direct secure messaging: rajgopal.pakanati.1@16739.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1386723955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 N BERRYLINE CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814816",
            "telephone_number": "832-654-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E CROCKETT ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274029",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKANATI",
        "first_name": "RAJGOPAL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K3376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149896601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

Verify at the official NPI Registry.