Active NPI
Rajgopal R Pakanati, MD
- Anesthesiology Physician
- Cleveland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- K3376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149896601 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25312 Interstate 45 N
Spring, TX 77386-1449
Phone (346) 331-2554
Hospital & facility affiliations
- The Woodlands Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3376 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Anesthesia Services PLLC | Anesthesiology | Current | Accepting new patients |
| Texas Partners in Hospital Consulting PLLC | Anesthesiology | Current | 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
- https://fhir4.healow.com/fhir/r4/FDFHBA
- pakanati.rajgopal.1@11939.direct.athenahealth.com
- 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.
-
- Anesthesiology Physician
- Spring, TX
- NPI 1013747922
-
- Anesthesiology Physician
- Frisco, TX
- NPI 1366832958
-
- Anesthesiology Physician
- Spring, TX
- NPI 1215611983
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184042822
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.