NPIMap

Individual provider Active NPI

Usha Renganathan, M.D.

  • Family Medicine Physician
  • Anamosa, IA
National Provider Identifier
1700084191
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38862 Issued in IA
Practice address
1791 Highway 64 E
Anamosa, IA 52205-2112
Phone
(319) 462-6043
Fax
(319) 462-6043
NPI assigned
Jul 6, 2007
Last updated
Dec 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-8188 IA
Family Medicine Physician 207Q00000X 38862 IA Primary

Addresses

Primary practice location

1791 Highway 64 E
Anamosa, IA 52205-2112

Mailing address

20079 Stone Oak Pkwy Ste 1105485
San Antonio, TX 78258-6942
Phone (210) 201-4590

Other identifiers 1

IdentifierTypeStateIssuer
1700084191MedicaidIA

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
I20160106000311 TX Practitioner - Family Practice 4789709601 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bexar Physician Services, PLLCGroup PAC ID 6305298720, 23 clinicians

Practice addresses (Care Compare)

2827 Babcock Rd
San Antonio, TX 78229-4813
Phone (210) 705-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38862IAMDFamily Medicine Physician
R-8188IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usha Renganathan MD PLLC CurrentSince Jan 23, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Dec 4, 2015 Accepting new patients
Murali Senapathi MD PLLC CurrentSince Apr 20, 2021 Accepting new patients
Bexar Physician Services, PLLC CurrentSince Dec 24, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients

Locations

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

20079 Stone Oak Pkwy
Ste 1105485
San Antonio, TX 78258
Phone (210) 201-4590

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

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 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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1700084191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105485",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "210-201-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 HIGHWAY 64 E",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522052112",
            "telephone_number": "319-462-6043",
            "fax_number": "319-462-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGANATHAN",
        "first_name": "USHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8188",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700084191",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anamosa, IA

Sources for this page

Verify at the official NPI Registry.