Individual provider Active NPI

Ravinder Agusala, MD

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1548276397
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
F8789 Issued in TX
Practice address
11111 Jones Rd Ste 1
Houston, TX 77070-6317
Phone
(281) 890-4886
Fax
(281) 894-2247
NPI assigned
Aug 1, 2006
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X F8789 TX Primary

Addresses

Primary practice location

11111 Jones Rd Ste 1
Houston, TX 77070-6317

Mailing address

11111 Jones Rd Ste 1
Houston, TX 77070-6317
Phone (281) 890-4886

Other identifiers 1

IdentifierTypeStateIssuer
036183401MedicaidTX

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
I20120712000834 TX Practitioner - Cardiovascular Disease (Cardiology) 7416928122 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cyfair Cardiology Assoc PA Cardiovascular Disease CurrentSince Sep 2, 2002 Accepting new patients
Texas Surgmed Group PLLC PastSince Aug 26, 2011 Accepting new patients

Locations

11111 Jones Rd
Ste 1
Houston, TX 77070
Phone (281) 808-7381

255 Ed English Dr
Ste B
Shenandoah, TX 77385
Phone (281) 890-4886

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1548276397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 JONES RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706317",
            "telephone_number": "281-890-4886",
            "fax_number": "281-894-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 JONES RD STE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706317",
            "telephone_number": "281-890-4886",
            "fax_number": "281-894-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSALA",
        "first_name": "RAVINDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F8789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036183401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.