Raeeda Munir Gheewala, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

P1865 Issued in TX

Practice address

408 W 45TH St
Austin, TX 78751-3014

Phone

(512) 451-5800

Fax

(512) 459-1399

NPI assigned

May 15, 2007

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Internal MedicineAlso: Hospitalist, Nephrology

Education

Tufts University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aco Jason Martin Medical ConsultingGroup PAC ID 6103327358, 28 clinicians

Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rendevor - TX Post Acute Services LLC Dialysis facility, Houston, TX, CCN 742733
• Dialyze Direct Sugarland Dialysis facility, Sugar Land, TX, CCN 672800
• Carmen Lakeway Dialysis facility, Lakeway, TX, CCN 742730
• Concho Hearts Hospice, LLC Hospice, San Angelo, TX, CCN 971627
• Spjst Rest Home 1 Nursing home, Taylor, TX, CCN 676290
• Gracy Woods Nursing Center Nursing home, Austin, TX, CCN 675918

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oakbend Medical Center

  dba S.P.J.S.T. Rest Home 1

  • Skilled Nursing Facility
  • Taylor, TX
  • NPI 1871633305

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Aco Jason Martin Medical Consulting

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1881578961
  Medicare reassignment Care Compare group NPD
• Austin Kidney Care LLC

  • Nephrology Physician
  • Austin, TX
  • NPI 1841849098
  Medicare reassignment NPD Authorized official
• Jason Martin Medical Consulting LLC

  • General Practice Physician
  • Austin, TX
  • NPI 1851736243
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Texas, PLLC

  • Internal Medicine Physician
  • Cedar Park, TX
  • NPI 1801300322
  Medicare reassignment NPD
• Oakbend Medical Center

  dba S.P.J.S.T. Rest Home 1

  • Skilled Nursing Facility
  • Taylor, TX
  • NPI 1871633305
  NPD (past)
• Seton Hospitalist Service

  dba Adult Inpatient Medical Services

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1013293679
  NPD (past)
• Winnie-Stowell Hospital District

  dba Gracy Woods Nursing Center

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1396145173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rendevor - TX Post Acute Services LLC

  dba Renedevor Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1033974258

  Dialysis facility

  Care Compare affiliation Name & address match
• Concho Hearts Hospice, LLC

  • Community Based Hospice Care Agency
  • San Angelo, TX
  • NPI 1619581725
  Care Compare affiliation
• Oakbend Medical Center

  dba S.P.J.S.T. Rest Home 1

  • Skilled Nursing Facility
  • Taylor, TX
  • NPI 1871633305

  Nursing home

  Care Compare affiliation
• Winnie-Stowell Hospital District

  dba Gracy Woods Nursing Center

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1396145173

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1851507115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEEWALA",
        "first_name": "RAEEDA",
        "middle_name": "MUNIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1865",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P1865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304537903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dania Ghassoub, RD, LD
• Aditi Ghatak-Roy, M.D.
• Arshad Ghauri, M.D.
• Ghazi Enterprises Inc (Austin Chiropractic Neurology)
• Amir David Ghazi, DC
• John Joseph Ghidoni III, MD
• Anita Ghimire
• Claudia Ghio, LPA, LSSP
• Ezam Ghodsi, MD
• Angelica Gholston, NP

• Nephrology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.