NPIMap

Organization Active NPI

Rajan Kadakia, M.D. P.a.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1417272691
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RAJAN KADAKIA, M.D. P.A.
Practice address
11920 Astoria Blvd Ste 340
Houston, TX 77089-6155
Phone
(281) 506-8720
Fax
(281) 416-4442
NPI assigned
Mar 31, 2010
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Dr. Rajan Avinash Kadakia, M.D.NPI 1548295264
Title
President
Phone
(832) 498-4550

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
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

11920 Astoria Blvd Ste 340
Houston, TX 77089-6155

Mailing address

11920 Astoria Blvd Ste 340
Houston, TX 77089-6155
Phone (281) 506-8720

Other practice location 1

450 Blossom St Ste A
Webster, TX 77598-4228
Phone (281) 506-8720

Other practice location 2

10905 Memorial Hermann Dr Ste 209
Pearland, TX 77584-3490
Phone (281) 506-8720

Other names 1

  • Southeast Cardiovascular Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000130 TX Part B Supplier - Clinic/Group Practice 2466583158 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX; Pearland, TX; Webster, TX

National Provider Directory

National Provider Directory

Locations

11920 Astoria Blvd
Ste 370
Houston, TX 77089
Phone (713) 538-1240

10905 Memorial Hermann Dr
Ste 209
Pearland, TX 77584
Phone (281) 506-8720

450 Blossom St
Ste A
Webster, TX 77598
Phone (281) 506-8720

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1417272691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896155",
            "telephone_number": "281-506-8720",
            "fax_number": "281-416-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD STE 340",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896155",
            "telephone_number": "281-506-8720",
            "fax_number": "281-416-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Blossom St Ste A",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984228",
            "country_code": "US",
            "telephone_number": "281-506-8720",
            "fax_number": "281-416-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10905 Memorial Hermann Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775843490",
            "country_code": "US",
            "telephone_number": "281-506-8720",
            "fax_number": "281-416-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAJAN KADAKIA, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_middle_name": "AVINASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-498-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Cardiovascular Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.