Individual provider Active NPI

Ranjani Davalath Amin

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1861922197
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5692 Issued in TX
Practice address
6620 Main St Ste 1250
Houston, TX 77030
Phone
(713) 798-3967
NPI assigned
Jun 19, 2017
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO4806 FL
Family Medicine Physician 207Q00000X R5692 TX Primary

Addresses

Primary practice location

6620 Main St Ste 1250
Houston, TX 77030

Mailing address

8427 Lorrie Dr
Houston, TX 77025-3242
Phone (210) 625-1119

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ramin28911@bcm.ghhdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180815002529 TX Practitioner - Family Practice 5991054538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Antonio-MMC, P.a.Group PAC ID 9537207741, 8 clinicians

Practice addresses (Care Compare)

9969 Fredericksburg Rd
San Antonio, TX 78240-4106
Phone (210) 690-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
UO4806FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2018 Accepting new patients
San Antonio-MMC, P.a. Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6620 Main St
Ste 1250
Houston, TX 77030
Phone (201) 303-1092

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

9969 Fredericksburg Rd
San Antonio, TX 78240
Phone (210) 344-2273

15200 Southwest Fwy
Ste 175
Sugar Land, TX 77478
Phone (281) 494-0550

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1861922197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 LORRIE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253242",
            "telephone_number": "210-625-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST STE 1250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-798-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RANJANI",
        "middle_name": "DAVALATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO4806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramin28911@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "6620 Main St Ste 1250",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.