Active NPI
Nima M Pourrajabi, DO
- Emergency Medicine Physician
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- U1356
- Practice address
- 2801 Franciscan Dr
Bryan, TX 77802-2544 - Phone
- (979) 776-3777
- NPI assigned
- Jun 23, 2006
- Last updated
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA04598 | TX | |
| Emergency Medicine Physician | 207P00000X | U1356 | TX | Primary |
Addresses
Primary practice location
2801 Franciscan Dr
Bryan, TX 77802-2544
Mailing address
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777
Other practice location 1
1604 Rock Prairie Rd
College Station, TX 77845-8345
Phone (979) 764-5100
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1518 Ranch Rd 620
Suite 100
Lakeway, TX 78734-6291
Phone (817) 527-3403
4103 N Loop 1604
San Antonio, TX 78249-1395
Phone (210) 572-8415
Hospital & facility affiliations
- Ascension Seton Northwest
- Baylor Scott & White Medical Center - Round Rock
- Ascension Seton Medical Center Austin
- Ascension Seton Hays
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.86 of 100
- Quality
- 96.16
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.86 of 100
- Quality
- 92.78
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.59 of 100
- Quality
- 90.83
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1356 | TX | MD | Emergency Medicine Physician |
| PA04598 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tec Emergency Physicians, PLLC | Current | Accepting new patients | |
| Bryan Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Brazos Valley Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Lakeway Era Acquistion Partners LLC | Past | Accepting new patients | |
| Traditions Emergency Medicine PA | Past | Accepting new patients | |
| Westlake Complete Care LLC | Past | Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631
210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
11320 Alamo Ranch Pkwy
San Antonio, TX 78253
Phone (210) 485-3644
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
Interoperability endpoints
- https://api.platform.athenahealth.com/12515/brand/6/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
dba Texas Complete Urgent Care Physicians
- Urgent Care Clinic/Center
- Lakeway, TX
- NPI 1285088161
-
- Emergency Medicine Physician
- Navasota, TX
- NPI 1982642955
-
- Emergency Medicine Physician
- Bryan, TX
- NPI 1417995481
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
dba Vik Complete Care Lakeway
- Emergency Care Clinic/Center
- Lakeway, TX
- NPI 1093165631
-
- Emergency Medical Services (Emergency Medicine) Physician
- College Station, TX
- NPI 1396786232
-
dba Vik Complete Care Westlake
- Emergency Care Clinic/Center
- Austin, TX
- NPI 1497115539
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1811923006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 FRANCISCAN DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022544",
"telephone_number": "979-776-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 FRANCISCAN DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022544",
"telephone_number": "979-776-3777"
}
],
"practiceLocations": [
{
"address_1": "1604 Rock Prairie Rd",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778458345",
"country_code": "US",
"telephone_number": "979-764-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POURRAJABI",
"first_name": "NIMA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04598",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U1356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.