Individual provider Active NPI

Saikiran Raghavapuram, M.D.

  • Gastroenterology Physician
  • Frisco, TX
National Provider Identifier
1790065464
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
T5005 Issued in TX
Practice address
11330 Legacy Dr Ste 205
Frisco, TX 75033-1218
Phone
(469) 535-5070
Fax
(214) 436-4798
NPI assigned
Aug 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036142929 IL
Internal Medicine Physician 207R00000X E-8427 AR
Gastroenterology Physician 207RG0100X E-8427 AR
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X T5005 TX Primary

Addresses

Primary practice location

11330 Legacy Dr Ste 205
Frisco, TX 75033-1218

Mailing address

8267 Elmbrook Dr Ste 200
Dallas, TX 75247-4078
Phone (214) 424-2200

Other practice location 1

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-5162

Other practice location 2

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-5162

Other practice location 3

2 Saint Anthonys Way
Alton, IL 62002-4569
Phone (618) 462-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200713003560 GA Practitioner - Gastroenterology 1153648464
I20220617001753 TX Practitioner - Gastroenterology 1153648464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11330 Legacy Dr
Suite 205
Frisco, TX 75033-1206
Phone (469) 535-5070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy43
Upper gastrointestinal (GI) endoscopy for acid reflux48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Jul 8, 2022 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Jul 8, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients

Locations

981 State Highway 121
Ste 1140
Allen, TX 75013
Phone (469) 697-5100

8267 Elmbrook Dr
Ste 200
Dallas, TX 75247
Phone (512) 485-5889

11330 Legacy Dr
Ste 205
Frisco, TX 75033
Phone (469) 535-5070

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIIBCD

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.

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1790065464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 ELMBROOK DR STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474078",
            "telephone_number": "214-424-2200",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331218",
            "telephone_number": "469-535-5070",
            "fax_number": "214-436-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Saint Anthonys Way",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620024569",
            "country_code": "US",
            "telephone_number": "618-462-2226",
            "fax_number": "618-462-4809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHAVAPURAM",
        "first_name": "SAIKIRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2024-04-02",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036142929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-8427",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E-8427",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "T5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.