Active NPI
Bharath Gururaj Raj, M.D.
- Psychiatry Physician
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N1664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203426605 | Medicaid | TX |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| N1664 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Behavioral Health of Texas | Current | Accepting new patients | |
| Ut Physicians | Psychiatry | Current | Accepting new patients |
| Bharath G Raj | Current | Accepting new patients | |
| Ut Physicians | Current | 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
- 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.
-
- Geriatric Psychiatry Physician
- Kingwood, TX
- NPI 1386098283
-
- Adult Mental Health Clinic/Center
- Kingwood, TX
- NPI 1366231532
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1740791748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.