NPIMap

Individual provider Active NPI

Raja Jawad Kiani, M.D.

  • Child & Adolescent Psychiatry Physician
  • Amarillo, TX
National Provider Identifier
1689024838
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
S9329 Issued in TX
Practice address
1400 Wallace Blvd
Amarillo, TX 79106-1708
Phone
(806) 414-9970
Fax
(806) 351-3783
NPI assigned
Jun 20, 2016
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X S9329 TX Primary

Addresses

Primary practice location

1400 Wallace Blvd
Amarillo, TX 79106-1708

Mailing address

1400 Wallace Blvd
Amarillo, TX 79106-1708
Phone (806) 414-9970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902000199 TX Practitioner - Psychiatry 8628357910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4000 24TH St
Lubbock, TX 79410-1894
Phone (806) 743-2373

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Oct 17, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo CurrentSince Aug 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Aug 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Psychiatry CurrentSince Oct 17, 2024 Accepting new patients
Lubbock Regional MHMR Center Psychiatry CurrentSince Feb 1, 2025 Accepting new patients

Locations

1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600

1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

4000 24th St
Lubbock, TX 79410
Phone (806) 725-0000

4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700

Interoperability endpoints

  • Direct secure messaging: raja.kiani.1@11331.direct.athenahealth.com
  • Direct secure messaging: rajakiani@ttuhsc.allscriptsdirect.net

Organizations & group practices 8

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 6

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1689024838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-414-9970",
            "fax_number": "806-351-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061708",
            "telephone_number": "806-414-9970",
            "fax_number": "806-351-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIANI",
        "first_name": "RAJA",
        "middle_name": "JAWAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "S9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.