Individual provider Active NPI

Aneesh Kiran Angirekula, MD

  • Allergy Physician
  • Houston, TX
National Provider Identifier
1770046146
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
U8024 Issued in TX
Practice address
2424 W Holcombe Blvd Ste 104
Houston, TX 77030-1933
Phone
(281) 886-7440
Fax
(281) 929-0086
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X U8024 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X BP100668302 TX

Addresses

Primary practice location

2424 W Holcombe Blvd Ste 104
Houston, TX 77030-1933

Mailing address

2424 W Holcombe Blvd Ste 104
Houston, TX 77030-1933
Phone (281) 886-7440

Other practice location 1

2401 S 31st St # Msag407Q
Temple, TX 76508-0001
Phone (254) 724-2364

Other practice location 2

400 Harborside Drive
Galveston, TX 77555-0001
Phone (409) 772-0099

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
I20240426000443 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9436387727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Allergy Group PLLCGroup PAC ID 4183843097, 3 clinicians

Practice addresses (Care Compare)

17203 Red Oak Dr
Suite 101
Houston, TX 77090-2612
Phone (832) 890-7225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP100668302TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Southampton Clinic PLLC CurrentSince Jun 30, 2024 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jun 1, 2023 Accepting new patients

Locations

8282 Bellaire Blvd
Ste 162
Houston, TX 77036
Phone (281) 886-7440

17203 Red Oak Dr
Ste 101
Houston, TX 77090
Phone (281) 886-7440

2424 W Holcombe Blvd
Ste 104
Houston, TX 77030
Phone (281) 324-0606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1770046146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W HOLCOMBE BLVD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301933",
            "telephone_number": "281-886-7440",
            "fax_number": "281-929-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W HOLCOMBE BLVD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301933",
            "telephone_number": "281-886-7440",
            "fax_number": "281-929-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St # Msag407Q",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Harborside Drive",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550001",
            "country_code": "US",
            "telephone_number": "409-772-0099",
            "fax_number": "409-747-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGIREKULA",
        "first_name": "ANEESH",
        "middle_name": "KIRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "U8024",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP100668302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.