Krishnaiah Rayasam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

T0641 Issued in TX

Practice address

4234 Weber Road
Corpus Christi, TX 78411-3603

Phone

(361) 857-2090

Fax

(361) 814-6302

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1973

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Gulf Bend Mental Health Mental Retardation CenterGroup PAC ID 8628059631, 6 clinicians

Coastal Plains Community MHMR CenterGroup PAC ID 1557337490, 10 clinicians

Nueces County Mental Health and Mental Retardation Community CtrGroup PAC ID 7618954777, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coastal Plains Community MHMR Center

  • Psychiatry Physician
  • Portland, TX
  • NPI 1962552109
  Medicare reassignment Care Compare group NPD
• Gulf Bend Mental Health Mental Retardation Center

  • Professional Counselor
  • Victoria, TX
  • NPI 1467434399

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Nueces County Mental Health & Mental Retardation Community Ctr

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1255357828
  Medicare reassignment Care Compare group NPD
• Coastal Plains Community MHMR Center

  • Case Manager/Care Coordinator
  • Portland, TX
  • NPI 1861544124
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Coastal Plains Community MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, TX
  • NPI 1194104026
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1831188903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 WEBER ROAD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113603",
            "telephone_number": "361-857-2090",
            "fax_number": "361-814-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 WEBER ROAD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113603",
            "telephone_number": "361-857-2090",
            "fax_number": "361-814-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYASAM",
        "first_name": "KRISHNAIAH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T0641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139785308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Sowell Rath, LISW-CP, LCSW
• Raul R Capitaine Mdpa
• Ravi Krishnan MD PA
• Christina Rawana, DO
• Nina Ajit Rawtani
• Raymond Lewandowski Jr, MD PA
• Raymond Lewandowski Jr,, MD, PA
• Daniel Rea, PH.T.R, CPHT
• Real Life Healthcare Systems, LLC
• Jose Ramon Recio, PA-C

• Psychiatry Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.

Verify at the official NPI Registry.