NPIMap

Individual provider Active NPI

Kiran F Rajneesh, M.B.B.S., M.S.

  • Neurology Physician
  • Webster, TX
National Provider Identifier
1881919090
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
T9589 Issued in TX
Practice address
560 Blossom St Ste D
Webster, TX 77598-4237
Phone
(949) 872-8829
NPI assigned
Mar 30, 2010
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35126217 OH
Neurology Physician 2084N0400X T9589 TX Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 35126217 OH

Addresses

Primary practice location

560 Blossom St Ste D
Webster, TX 77598-4237

Mailing address

560 Blossom St Ste D
Webster, TX 77598-4237
Phone (949) 872-8829

Other identifiers 1

IdentifierTypeStateIssuer
0150365MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krajneesh356049@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250224003165 TX Practitioner - NeurologyPractitioner - Pain Management 5294035788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

560 Blossom St
Suite D
Webster, TX 77598-4237
Phone (832) 400-2780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35126217OHMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kiran Rajneesh PLLC Neurology CurrentSince Dec 22, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Neuroscience Center, LLC Neurology Past Accepting new patients

Locations

560 Blossom St
Ste D
Webster, TX 77598
Phone (832) 400-2780

Interoperability endpoints

  • Direct secure messaging: krajneesh356049@direct.osumc.edu

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 8

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": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1881919090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BLOSSOM ST STE D",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984237",
            "telephone_number": "949-872-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BLOSSOM ST STE D",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984237",
            "telephone_number": "949-872-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJNEESH",
        "first_name": "KIRAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35126217",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T9589",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "OH",
            "license": "35126217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150365",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krajneesh356049@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "543 Taylor Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432031278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.