Texas Avenue Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TEXAS AVENUE MEDICAL CLINIC

Practice address

1703 E 29TH Street
Bryan, TX 77802

Phone

(979) 779-4756

Fax

(979) 823-3018

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rany A Cherian, M.D.NPI 1932126422

Title

Business Owner

Phone

(979) 779-4756

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rany Antony Cherian, MD

  • Addiction Medicine (Family Medicine) Physician
  • Bryan, TX
  • NPI 1932126422
  Medicare reassignment NPD Authorized official
• Ume-Haney Y. Kakwan, M.D.

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1699761536
  Medicare reassignment NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1942373816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-779-4756",
            "fax_number": "979-823-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E 29TH STREET",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-779-4756",
            "fax_number": "979-823-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS AVENUE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "RANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "979-779-4756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091802101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry M Jones, MD, PA
• Matt Terwillegar, O.D.
• Texas a&M University System Health Science Center
• Texas a&M University System Health Science Center
• Texas a&M University System Health Science Center
• Texas Cardiac Arrhythmia PLLC
• Texas Cardiovascular Consultants, PA
• Texas Dental Sleep Services PLLC
• Texas Hand Therapy
• Texas Hand Therapy

• Family Medicine Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.