Individual provider Active NPI

Angela Renee Raimer, MD

  • Family Medicine Physician
  • League City, TX
National Provider Identifier
1790005148
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7214 Issued in TX
Practice address
2785 Gulf Fwy S Ste 165
League City, TX 77573-4990
Phone
(832) 505-0139
Fax
(832) 505-0161
NPI assigned
Jun 8, 2010
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7214 TX Primary

Addresses

Primary practice location

2785 Gulf Fwy S Ste 165
League City, TX 77573-4990

Mailing address

2705 Avenue O
Galveston, TX 77550-6801
Phone (281) 744-5925

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
I20130910000737 TX Practitioner - Family Practice 2860636032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

2020 E Hwy 6
Alvin, TX 77511-8507
Phone (281) 585-2530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Single Specialty CurrentSince Jul 13, 2013 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Jul 13, 2013 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

2785 Gulf Fwy S
Ste 165
League City, TX 77573
Phone (832) 505-0139

6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735

10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466

17448 Highway 3
Fl 2
Webster, TX 77598
Phone (832) 505-1748

Interoperability endpoints

  • Direct secure messaging: astickline25100@direct.utmb.edu

Organizations & group practices 2

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 1

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1790005148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 AVENUE O",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506801",
            "telephone_number": "281-744-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 GULF FWY S STE 165",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734990",
            "telephone_number": "832-505-0139",
            "fax_number": "832-505-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMER",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.