Individual provider Active NPI

Febin Bethel Raju, R.T.(R)(CT)(ARRT)

  • Radiologic Technologist
  • Houston, TX
National Provider Identifier
1407380371
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
GMR00094624 Issued in TX
Practice address
9301 Southwest Fwy
Suite 155
Houston, TX 77074-1510
Phone
(713) 244-5179
Fax
(832) 383-6962
NPI assigned
Apr 17, 2017
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X GMR00094624 TX Primary

Addresses

Primary practice location

9301 Southwest Fwy
Suite 155
Houston, TX 77074-1510

Mailing address

PO Box 731416
Dallas, TX 75373-1416
Phone (713) 244-5179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GMR00094624TXMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Imaging, LLC PastSince May 17, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/443/brand/1/csg/22/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1407380371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731416",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731416",
            "telephone_number": "713-244-5179",
            "fax_number": "832-383-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 SOUTHWEST FWY",
            "address_2": "SUITE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741510",
            "telephone_number": "713-244-5179",
            "fax_number": "832-383-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "FEBIN",
        "middle_name": "BETHEL",
        "credential": "R.T.(R)(CT)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TX",
            "license": "GMR00094624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.