Individual provider Active NPI

Krishna Kumar Raman, MD

  • Nephrology Physician
  • Cypress, TX
National Provider Identifier
1922048958
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L5106 Issued in TX
Practice address
21212 North West Freeway 355
Cypress, TX 77429
Phone
(281) 890-9944
Fax
(281) 890-9955
NPI assigned
Jun 7, 2006
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 L5106 TX
Nephrology Physician 207RN0300X L5106 TX Primary

Addresses

Primary practice location

21212 North West Freeway 355
Cypress, TX 77429

Mailing address

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

Other practice location 1

411 Park Grove Ln Suite 310
Katy, TX 77450-7745
Phone (281) 579-5799

Other identifiers 1

IdentifierTypeStateIssuer
156844601MedicaidTX

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
I20040316000971 TX Practitioner - Nephrology 7214827153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rahul Prakash, M.D., P.a.Group PAC ID 2264322189, 12 clinicians

Practice addresses (Care Compare)

21212 Northwest Fwy 355
Renal Clinic of Houston
Cypress, TX 77429-5890
Phone (281) 890-9944

Hospital & facility affiliations

  • DaVita Katy Dialysis Grand Parkway Dialysis facility, Katy, TX, CCN 452761
  • DaVita Katy Cinco Ranch Dialysis Dialysis facility, Katy, TX, CCN 452833
  • DaVita Horizon Dialysis Dialysis facility, Houston, TX, CCN 672734
  • DaVita West Oaks Dialysis Dialysis facility, Houston, TX, CCN 672686
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610
  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Houston Methodist Continuing Care Hospital Long-term care hospital, Katy, TX, CCN 452118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000343NYMDArt Therapist

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
Cardiovascular Care Providers, Inc. Specialist Past Accepting new patients
Wood Dialysis LLC PastSince Mar 1, 2009 Accepting new patients

Locations

21212 Northwest Fwy
Ste 355
Cypress, TX 77429
Phone (281) 890-9944

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

902 Frostwood Dr
Ste 245
Houston, TX 77024

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

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

411 Park Grove Dr
Ste 310
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 and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

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": "1922048958",
    "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": "21212 NORTH WEST FREEWAY 355",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-890-9944",
            "fax_number": "281-890-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Park Grove Ln Suite 310",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774507745",
            "country_code": "US",
            "telephone_number": "281-579-5799",
            "fax_number": "281-579-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAN",
        "first_name": "KRISHNA",
        "middle_name": "KUMAR",
        "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": "L5106",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L5106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156844601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.