Active NPI
Radha Tamerisa MD PA
- Gastroenterology Physician
- Katy, TX
National Provider Identifier
1730610320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- L7210
- Legal business name
- RADHA TAMERISA MD PA
- Practice address
- 1331 W Grand Pkwy N
Suite 350
Katy, TX 77493-2710 - Phone
- (281) 395-8688
- Fax
- (281) 395-8480
- NPI assigned
- Mar 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Radha A Tamerisa, MD
- Title
- Physician/Owner
- Phone
- (281) 395-8688
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | L7210 | TX | Primary |
Addresses
Primary practice location
1331 W Grand Pkwy N
Suite 350
Katy, TX 77493-2710
Mailing address
1331 W Grand Pkwy N
Suite 350
Katy, TX 77493-2710
Phone (281) 395-8688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25230 Kingsland Blvd
Ste 102
Katy, TX 77494
Phone (281) 869-3009
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCACCD
- https://api.platform.athenahealth.com/15428/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Katy, TX
- NPI 1366440653
-
- Medical Physician Assistant
- Katy, TX
- NPI 1497297394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1730610320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 W GRAND PKWY N",
"address_2": "SUITE 350",
"city": "KATY",
"state": "TX",
"postal_code": "774932710",
"telephone_number": "281-395-8688",
"fax_number": "281-395-8480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 W GRAND PKWY N",
"address_2": "SUITE 350",
"city": "KATY",
"state": "TX",
"postal_code": "774932710",
"telephone_number": "281-395-8688",
"fax_number": "281-395-8480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADHA TAMERISA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "TAMERISA",
"authorized_official_first_name": "RADHA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "281-395-8688",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "L7210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.