Active NPI
Pranali Koradia
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1629509401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- S6428
- Practice address
- 1 Baylor PLZ
Bcm285
Houston, TX 77030-3411 - Phone
- (713) 873-2626
- Fax
- (713) 873-2325
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S6428 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ
Bcm285
Houston, TX 77030-3411
Mailing address
7918 Sonoma Oak Dr
Houston, TX 77041-1281
Other practice location 1
20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000
Other practice location 2
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S6428 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1629509401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7918 SONOMA OAK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770411281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"address_2": "BCM285",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-873-2626",
"fax_number": "713-873-2325"
}
],
"practiceLocations": [
{
"address_1": "20171 Chasewood Park Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770701437",
"country_code": "US",
"telephone_number": "832-534-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018911",
"country_code": "US",
"telephone_number": "337-494-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORADIA",
"first_name": "PRANALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S6428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.