Individual provider Active NPI

Rathnavali Katragadda, MD

  • Pulmonary Disease Physician
  • Midland, TX
National Provider Identifier
1750885075
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
U5729 Issued in TX
Practice address
400 Rosalind Redfern Grover Pkwy Ste 271
Midland, TX 79701-5857
Phone
(432) 221-2700
NPI assigned
Mar 21, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X U5729 TX Primary

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy Ste 271
Midland, TX 79701-5857

Mailing address

PO Box 5291
Midland, TX 79704-5291
Phone (432) 221-4243

Other practice location 1

2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-2360

Other practice location 2

1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Phone (702) 485-4405

Other identifiers 1

IdentifierTypeStateIssuer
U5729OtherTXTX LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rathnavali.katragadda.1@3522.direct.athenahealth.com Direct

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
I20240516004266 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6103220603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians
Texas Tech University Health Sciences Center OdessaGroup PAC ID 8426044256, 58 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Suite 271
Midland, TX 79701-5857
Phone (432) 686-6605

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-2222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc CurrentSince Jul 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Odessa CurrentSince Sep 1, 2024 Accepting new patients
Premier Physicians Past Accepting new patients

Locations

301 N N St
Midland, TX 79701
Phone (432) 620-5800

400 Rosalind Redfern Grover Pkwy
Ste 271
Midland, TX 79701
Phone (432) 221-2700

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

800 W 4th St
Odessa, TX 79763
Phone (915) 335-1421

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rathnavali.katragadda.1@3522.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1750885075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5291",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797045291",
            "telephone_number": "432-221-4243",
            "fax_number": "432-221-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY STE 271",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015857",
            "telephone_number": "432-221-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201402",
            "country_code": "US",
            "telephone_number": "419-251-2360",
            "fax_number": "419-251-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 W Charleston Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022312",
            "country_code": "US",
            "telephone_number": "702-485-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATRAGADDA",
        "first_name": "RATHNAVALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "U5729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "U5729",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rathnavali.katragadda.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Rosalind Redfern Grover Pkwy Ste 271",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.