Individual provider Active NPI

Bharath Gururaj Raj, M.D.

  • Psychiatry Physician
  • Kingwood, TX
National Provider Identifier
1780840587
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N1664 Issued in TX
Practice address
3411 Cedar Knolls Dr
Ste B
Kingwood, TX 77339-2474
Phone
(281) 532-5462
Fax
(877) 796-5317
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X N1664 TX Primary

Addresses

Primary practice location

3411 Cedar Knolls Dr
Ste B
Kingwood, TX 77339-2474

Mailing address

3411 Cedar Knolls Dr
Ste B
Kingwood, TX 77339-2474
Phone (281) 532-5462

Other practice location 1

2800 S MacGregor Way
Houston, TX 77021-1032
Phone (713) 741-7829

Other identifiers 1

IdentifierTypeStateIssuer
203426605MedicaidTX

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
I20090706000651 TX Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9830240704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bharath G RajGroup PAC ID 6002101839, 8 clinicians

Practice addresses (Care Compare)

3411 Cedar Knolls Dr
Suite B
Kingwood, TX 77339-2474
Phone (281) 532-5462

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1664TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Behavioral Health of Texas Current Accepting new patients
Ut Physicians Psychiatry CurrentSince Mar 3, 2023 Accepting new patients
Bharath G Raj CurrentSince Jun 1, 2016 Accepting new patients
Ut Physicians CurrentSince Mar 3, 2023 Accepting new patients
Woodland Springs, LLC Past Accepting new patients

Locations

2800 S Macgregor Way
Houston, TX 77021
Phone (713) 741-5000

2020 North Loop W
Ste 150
Houston, TX 77018
Phone (713) 960-0344

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1849 Kingwood Dr
Ste 105
Kingwood, TX 77339
Phone (281) 532-5462

3411 Cedar Knolls Dr
Ste B
Kingwood, TX 77339
Phone (281) 532-5462

Interoperability endpoints

  • Direct secure messaging: psychiatry@holisticpsych.officeally.direct

Organizations & group practices 5

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1780840587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CEDAR KNOLLS DR",
            "address_2": "STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392474",
            "telephone_number": "281-532-5462",
            "fax_number": "877-796-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 CEDAR KNOLLS DR",
            "address_2": "STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392474",
            "telephone_number": "281-532-5462",
            "fax_number": "877-796-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S MacGregor Way",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770211032",
            "country_code": "US",
            "telephone_number": "713-741-7829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "BHARATH",
        "middle_name": "GURURAJ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203426605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.