Organization Active NPI

Dr Rajesh S Rana MD PA

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1396063616
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4667 Issued in TX
Legal business name
DR RAJESH S RANA MD PA
Practice address
18601 LBJ Fwy
Suite 320
Mesquite, TX 75150-5600
Phone
(972) 681-6401
Fax
(972) 681-2515
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Dr. Rajesh S Rana, M.D.NPI 1194731265
Title
Owner
Phone
(972) 681-6401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J4667 TX Primary

Addresses

Primary practice location

18601 LBJ Fwy
Suite 320
Mesquite, TX 75150-5600

Mailing address

18601 LBJ Fwy
Suite 320
Mesquite, TX 75150-5600
Phone (972) 681-6401

Other identifiers 2

IdentifierTypeStateIssuer
216150701MedicaidTX
DS3727OtherMEDICARE RAILROAD CARRIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100712000134 TX Part B Supplier - Clinic/Group Practice 9830221803 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0970198Rajesh Rana MD PA18601 LBJ Freeway, Suite 320, Mesquite, TX 75150Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1396063616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY",
            "address_2": "SUITE 320",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "972-681-6401",
            "fax_number": "972-681-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY",
            "address_2": "SUITE 320",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "972-681-6401",
            "fax_number": "972-681-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RAJESH S RANA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-681-6401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216150701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DS3727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.