Regional Digestive Consultants PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

L1801 Issued in TX

Legal business name

REGIONAL DIGESTIVE CONSULTANTS PA

Practice address

18955 N Memorial Dr Ste 430
Humble, TX 77338-4264

Phone

(281) 528-1511

Fax

(281) 419-8485

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Shailaja Behara, MD

Title

Owner/President

Phone

(281) 528-1511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Regional Digestive Consultants PA

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1164660890

  O20090323000217

  Same enrollment

Tax ID family

Regional Digestive Consultants PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Regional Digestive Consultants PA

  • Gastroenterology Physician
  • Shenandoah, TX
  • NPI 1164660890
  NPD tax ID

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1861630493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132889",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932889",
            "telephone_number": "281-528-1511",
            "fax_number": "281-419-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 430",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384264",
            "telephone_number": "281-528-1511",
            "fax_number": "281-419-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIGESTIVE CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BEHARA",
        "authorized_official_first_name": "SHAILAJA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-528-1511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L1801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Humble, TX
• Providers in Humble, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.