Organization Active NPI

Regenerative Surgical, LLC

Doing business as Regenerative Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pasadena, TX
National Provider Identifier
1548823859
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
REGENERATIVE SURGICAL, LLC
Doing business as
Regenerative Surgical Center
Regenerative Surgical LLC
Practice address
3534 Vista Rd
Pasadena, TX 77504-1728
Phone
(281) 721-4005
Fax
(855) 838-6071
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ra'Kerry Rahman, MD
Title
Owner
Phone
(281) 721-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3534 Vista Rd
Pasadena, TX 77504-1728

Mailing address

3534 Vista Rd
Pasadena, TX 77504-1728
Phone (281) 721-4005

Other identifiers 1

IdentifierTypeStateIssuer
R1277OtherTXTEXAS MEDICAL BOARD

Other names 2

  • Regenerative Surgical Center Doing business as
  • Regenerative Surgical LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2231202Regenerative Surgical a Department of Altus3534 Vista Road, Pasadena, TX 77504Certificate of waiverJul 29, 2027
45D2341845Regenerative Surgical3534 Vista Rd, Pasadena, TX 77504Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1548823859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041728",
            "telephone_number": "281-721-4005",
            "fax_number": "855-838-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041728",
            "telephone_number": "281-721-4005",
            "fax_number": "855-838-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "RA'KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-721-4005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R1277",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenerative Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regenerative Surgical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.