Rajanarender R. Cholleti, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

L0089 Issued in TX

Legal business name

RAJANARENDER R. CHOLLETI, MD PA

Practice address

1161 SW Wilshire Blvd
Suite 115
Burleson, TX 76028-5707

Phone

(817) 426-4700

Fax

(817) 426-4737

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah L Moses

Title

Office Manager

Phone

(817) 426-4700

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Rajanarender Reddy Cholleti, MD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajanarender Reddy Cholleti, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Burleson, TX
  • NPI 1427012913

  Specialist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1750405015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "address_2": "SUITE 115",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285707",
            "telephone_number": "817-426-4700",
            "fax_number": "817-426-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "address_2": "SUITE 115",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285707",
            "telephone_number": "817-426-4700",
            "fax_number": "817-426-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJANARENDER R. CHOLLETI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-426-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L0089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10030775",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE SECURE HORIZON",
            "identifier": "90116910",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040329702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7827163",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110224533",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086GP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rajanarender Reddy Cholleti, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emilie Quintanilla, PT
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• Rosy Rajbhandary, MD
• Kaylyn Rakes
• James Eli Raley, RBT
• Sreemdevi Ramakrishnan, M.D
• Dhavalkumar Rana

• Specialist in Burleson, TX
• Providers in Burleson, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.

Verify at the official NPI Registry.