Individual provider Active NPI

Preeya Raghu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Katy, TX
National Provider Identifier
1558520015
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N6969 Issued in TX
Practice address
21308 Provincial Drive
Katy, TX 77450
Phone
(281) 206-8201
Fax
(281) 206-8206
NPI assigned
Jun 9, 2008
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N6969 TX Primary

Addresses

Primary practice location

21308 Provincial Drive
Katy, TX 77450

Mailing address

21308 Provincial Drive
Katy, TX 77450
Phone (281) 206-8201

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
I20110531000538 TX Practitioner - Endocrinology 8628255650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Rush Medical College of Rush University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21308 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 206-8206

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

9539 Huffmeister Rd
Houston, TX 77095-2856
Phone (832) 593-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Sep 29, 2016 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Sep 29, 2016 Accepting new patients

Locations

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

9539 Huffmeister Rd
Houston, TX 77095
Phone (832) 593-8100

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: preeya.raghu.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1558520015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21308 PROVINCIAL DRIVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-206-8201",
            "fax_number": "281-206-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21308 PROVINCIAL DRIVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-206-8201",
            "fax_number": "281-206-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHU",
        "first_name": "PREEYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N6969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.