Individual provider Active NPI

Rajani Potu, MD

  • Internal Medicine Physician
  • Tomball, TX
National Provider Identifier
1538179486
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4450 Issued in TX
Practice address
1200W Main St
Tomball, TX 77375-5522
Phone
(281) 516-1505
NPI assigned
Aug 9, 2006
Last updated
Nov 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M4450 TX Primary

Addresses

Primary practice location

1200W Main St
Tomball, TX 77375-5522

Mailing address

1200W Main St
Tomball, TX 77375-5522
Phone (281) 516-1505

Other names 1

  • Rajani Kesineni Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000427 TX Practitioner - Internal Medicine 3577601178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4450TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Oct 1, 2009 Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince Oct 1, 2009 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1538179486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200W MAIN ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755522",
            "telephone_number": "281-516-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200W MAIN ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755522",
            "telephone_number": "281-516-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTU",
        "first_name": "RAJANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJANI",
            "last_name": "KESINENI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.