Individual provider Active NPI

Rajnikant Kushwaha, M.D.

  • Internal Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1629072335
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7323 Issued in TX
Practice address
150 Pine Forest Dr Ste 604
Shenandoah, TX 77384-5304
Phone
(936) 273-4666
Fax
(936) 271-4666
NPI assigned
Jun 9, 2005
Reactivated
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 K7323 TX Primary

Addresses

Primary practice location

150 Pine Forest Dr Ste 604
Shenandoah, TX 77384-5304

Mailing address

150 Pine Forest Dr
Suite 604
Shenandoah, TX 77384-5302
Phone (936) 273-4666

Other identifiers 2

IdentifierTypeStateIssuer
DG7841OtherTXMEDICARE RAILROAD
043998602MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ra3kushwaha@hotmail.com Health Information Exchange (HIE)
Direct Messaging Address rajnikant.kushwaha@rkmd.eclinicaldirectplus.com Direct

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
I20100825000657 TX Practitioner - Internal Medicine 6709964422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Pine Forest Dr
Suite 604
Shenandoah, TX 77384-5304
Phone (936) 273-4666

Hospital & facility affiliations

  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7323TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Northwest Operating Company, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rajnikant.kushwaha@rkmd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDJHAD/Endpoint/BDJHAD

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1629072335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR",
            "address_2": "SUITE 604",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-273-4666",
            "fax_number": "936-271-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 604",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773845304",
            "telephone_number": "936-273-4666",
            "fax_number": "936-271-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHWAHA",
        "first_name": "RAJNIKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-06-09",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG7841",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043998602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ra3kushwaha@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "secure messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Pine Forest Dr Ste 604",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773845304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajnikant.kushwaha@rkmd.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD and PDF",
            "address_1": "150 Pine Forest Dr Ste 604",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773845304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.