Active NPI
Pramodh Kumar Wadera, M.D.
- Anesthesiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G1575
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (972) 233-1999
- NPI assigned
- Aug 16, 2005
- Last updated
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G1575 | TX | Primary |
| Anesthesiology Physician | 207L00000X | 036073410 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G1575 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | G1575 | TX |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
PO Box 840853
Dallas, TX 75284-6404
Phone (972) 715-5000
Other practice location 1
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 65137
Other practice location 2
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721 ext. 65137
Other practice location 3
303 Sandy Corner Rd
El Campo, TX 77437-9535
Phone (281) 265-0774
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MEDICARE GROUP PTAN |
| 136242810 | Medicaid | TX | |
| 89807B | Other | TX | BLUE CROSS BLUE SHIELD |
| 136242809 | Medicaid | TX | |
| 136242811 | Medicaid | TX |
Other names 1
- Dr. P K (Bobby) Wadera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036073410 | IL | MD | Anesthesiology Physician |
| G1575 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Greater Anesthesia Solutions | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas - Dallas PLLC | Anesthesiology | Current | Accepting new patients |
| Texas Ams PLLC | Anesthesiology | Current | Accepting new patients |
| Lone Star Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Texans Anesthesia Associates PLLC | Anesthesiology | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Dynamic Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Anesthesiology | Current | Accepting new patients |
| Endo Sedation LLC | Anesthesiology | Current | Accepting new patients |
| Endo Sedation LLC | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group, PLLC | Anesthesiology | Current | Accepting new patients |
| Compass Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Globe Crna Company, LLC | Past | Accepting new patients | |
| Ahp Associates of Texas, PA | Anesthesiology | Past | Accepting new patients |
Locations (25 of 47)
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519
4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355
3944 Ranch Road 620 S
Bldg 8
Bee Cave, TX 78738
Phone (512) 263-1113
676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571
1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909
4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428
510 W Tidwell Rd
Houston, TX 77091
Phone (281) 618-8500
7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349
19502 McKay Dr
Ste 101
Humble, TX 77338
Phone (281) 312-6900
23920 Katy Fwy
Ste 200
Katy, TX 77494
Phone (281) 644-3200
Interoperability endpoints
- pramodh.wadera.1@13131.direct.athenahealth.com
- pwadera468881@direct.stlukeshealth.org
Organizations & group practices 20
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.
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Anesthesiology Physician
- Webster, TX
- NPI 1669829750
-
dba Houston Healthcare Associates
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1164174124
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1245801299
Anesthesiology
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1346570355
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
dba Pain Relief Associates
- Anesthesiology Physician
- Webster, TX
- NPI 1275733982
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba Memorial Hermann Houston Physicians' Hospital
- General Acute Care Hospital
- Webster, TX
- NPI 1285699835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1417949553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846404",
"telephone_number": "972-715-5000",
"fax_number": "281-265-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422549",
"telephone_number": "972-233-1999"
}
],
"practiceLocations": [
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171 x65137",
"fax_number": "618-351-4919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721 x65137",
"fax_number": "618-529-0449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Sandy Corner Rd",
"address_purpose": "LOCATION",
"city": "El Campo",
"state": "TX",
"postal_code": "774379535",
"country_code": "US",
"telephone_number": "281-265-0774",
"fax_number": "281-265-0774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADERA",
"first_name": "PRAMODH",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G1575",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036073410",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "G1575",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "G1575",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "214881",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136242810",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89807B",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136242809",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136242811",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P",
"last_name": "WADERA",
"middle_name": "K (BOBBY)",
"prefix": "DR.",
"credential": "M.D.",
"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 Jul 31, 2020; 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.