Active NPI
Radha P. Narayanan, M.D.
- Gastroenterology Physician
- Granbury, TX
National Provider Identifier
1528096898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- K0144
- Practice address
- 1308 Paluxy Rd Ste 300
Granbury, TX 76048-5689 - Phone
- (817) 579-3902
- Fax
- (817) 579-3901
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K0144 | TX | |
| Gastroenterology Physician | 207RG0100X | K0144 | TX | Primary |
Addresses
Primary practice location
1308 Paluxy Rd Ste 300
Granbury, TX 76048-5689
Mailing address
1308 Paluxy Rd Ste 300
Granbury, TX 76048-5689
Phone (817) 579-3902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170092404 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | radha.narayanan.1@1293.direct.athenahealth.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000161 | TX | Practitioner - Gastroenterology | 4981662145 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0144 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Internal Medicine, TX
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1528096898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 PALUXY RD STE 300",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485689",
"telephone_number": "817-579-3902",
"fax_number": "817-579-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 PALUXY RD STE 300",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485689",
"telephone_number": "817-579-3902",
"fax_number": "817-579-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAYANAN",
"first_name": "RADHA",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K0144",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "K0144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170092404",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "radha.narayanan.1@1293.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1308 Paluxy Rd Ste 300",
"city": "Granbury",
"state": "TX",
"country_code": "US",
"postal_code": "760485689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.