Individual provider Active NPI

Preethi Raju, DO

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1629718895
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U9642 Issued in TX
Practice address
704 Paredes Line Rd Ste a
Brownsville, TX 78521-7931
Phone
(956) 831-7111
NPI assigned
Mar 29, 2022
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U9642 TX Primary

Addresses

Primary practice location

704 Paredes Line Rd Ste a
Brownsville, TX 78521-7931

Mailing address

1304 Tesoro Ave
Rancho Viejo, TX 78575-9701
Phone (956) 459-4965

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
I20220801002143 TX Order and Referring Only - Family PracticePractitioner - Family Practice 8022490572

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9642TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Rosas M.D., P.a. Family Medicine CurrentSince Aug 17, 2025 Accepting new patients

Locations

704 Paredes Line Rd
Ste A
Brownsville, TX 78521
Phone (956) 831-7111

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, 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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1629718895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 TESORO AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759701",
            "telephone_number": "956-459-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PAREDES LINE RD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785217931",
            "telephone_number": "956-831-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "PREETHI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U9642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.