Individual provider Active NPI

Fakhruddin A Rakla, MD

  • Pulmonary Disease Physician
  • Humble, TX
National Provider Identifier
1932131505
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
J2750 Issued in TX
Practice address
9950 Memorial
Suite 102
Humble, TX 77338-4282
Phone
(281) 446-6803
Fax
(281) 446-0449
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X J2750 TX Primary

Addresses

Primary practice location

9950 Memorial
Suite 102
Humble, TX 77338-4282

Mailing address

9950 Memorial
Suite 102
Humble, TX 77338-4282
Phone (281) 446-6803

Other identifiers 1

IdentifierTypeStateIssuer
102514001MedicaidTX

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
I20100202000459 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0941268551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Houston Respiratory Consultants, PAGroup PAC ID 1052467735, 3 clinicians

Practice addresses (Care Compare)

9950 Memorial Blvd
Suite 102
Humble, TX 77338-4282
Phone (281) 446-6803

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Respiratory Consultants PA Pulmonary Disease CurrentSince Dec 14, 1992 Accepting new patients

Locations

9950 Memorial Blvd
Ste 102
Humble, TX 77338
Phone (281) 446-6803

22999 Highway 59 N
Ste 201
Kingwood, TX 77339
Phone (281) 359-4436

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFIBA

Organizations & group practices 1

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 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1932131505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 MEMORIAL",
            "address_2": "SUITE 102",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384282",
            "telephone_number": "281-446-6803",
            "fax_number": "281-446-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 MEMORIAL",
            "address_2": "SUITE 102",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384282",
            "telephone_number": "281-446-6803",
            "fax_number": "281-446-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKLA",
        "first_name": "FAKHRUDDIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J2750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102514001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.