Individual provider Active NPI

Madhavi Samanthapudi Raju, PA

  • Medical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1821327586
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06503 Issued in TX
Practice address
19875 Southwest Freeway
Suite 100
Sugar Land, TX 77479
Phone
(281) 545-2323
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06503 TX Primary

Addresses

Primary practice location

19875 Southwest Freeway
Suite 100
Sugar Land, TX 77479

Mailing address

19875 Southwest Fwy Ste 100
Sugar Land, TX 77479-3502
Phone (281) 545-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06503TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Urgent Care Partners, LP CurrentSince Aug 30, 2014 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
South Central Houston Action Council, Inc. Past Accepting new patients

Locations

21700 Kingsland Blvd
Ste 10
Katy, TX 77450

21700 Kingsland Blvd
Ste 104
Katy, TX 77450
Phone (281) 556-1764

Organizations & group practices 4

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1821327586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793502",
            "telephone_number": "281-545-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FREEWAY",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-545-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "MADHAVI",
        "middle_name": "SAMANTHAPUDI",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.