NPIMap

Individual provider Active NPI

Rahul Prakash, MD

  • Nephrology Physician
  • Katy, TX
National Provider Identifier
1902846108
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J2745 Issued in TX
Practice address
411 Park Grove LN Suite 310
Katy, TX 77450
Phone
(281) 579-5799
Fax
(281) 579-5798
NPI assigned
Jun 7, 2006
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J2745 TX
Nephrology Physician 207RN0300X J2745 TX Primary

Addresses

Primary practice location

411 Park Grove LN Suite 310
Katy, TX 77450

Mailing address

411 Park Grove LN Suite 310
Katy, TX 77450-2449
Phone (713) 464-9100

Other practice location 1

902 Frostwood Dr Ste 165
Houston, TX 77024-2449
Phone (713) 464-9100

Other identifiers 1

IdentifierTypeStateIssuer
113584004MedicaidTX

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
I20110719000499 TX Practitioner - Nephrology 8426078106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rahul Prakash, M.D., P.a.Group PAC ID 2264322189, 12 clinicians

Practice addresses (Care Compare)

902 Frostwood Dr
Suite 165
Houston, TX 77024-2449
Phone (713) 464-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2745TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Prakash, M.D., P.a. CurrentSince Apr 15, 2001 Accepting new patients
Rahul Prakash, M.D., P.a. Specialist CurrentSince Apr 15, 2001 Accepting new patients
Greenhouse Vascular Access Center, LLC Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Renal Clinic of Houston Past Accepting new patients

Locations

10726 Huffmeister Rd
Ste 250
Houston, TX 77065
Phone (281) 890-9944

2222 Greenhouse Rd
Ste 1500
Houston, TX 77084
Phone (713) 464-9100

902 Frostwood Dr
Ste 165
Houston, TX 77024
Phone (713) 464-9100

902 Frostwood Dr
Ste 245
Houston, TX 77024

21720 Kingsland Blvd
Ste 308
Katy, TX 77450
Phone (281) 579-5799

1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1902846108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN SUITE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502449",
            "telephone_number": "713-464-9100",
            "fax_number": "713-468-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PARK GROVE LN SUITE 310",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-579-5799",
            "fax_number": "281-579-5798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Frostwood Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242449",
            "country_code": "US",
            "telephone_number": "713-464-9100",
            "fax_number": "713-468-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2745",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113584004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.