Individual provider Active NPI

Rajesh S. Padmanabhan, M.D.

  • Surgery Physician
  • Arlington, TX
National Provider Identifier
1962517516
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M0209 Issued in TX
Practice address
3215 Omega Dr
Arlington, TX 76014-2006
Phone
(817) 466-7400
Fax
(817) 465-6582
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M0209 TX Primary

Addresses

Primary practice location

3215 Omega Dr
Arlington, TX 76014-2006

Mailing address

3215 Omega Dr
Arlington, TX 76014-2006
Phone (817) 466-7400

Other identifiers 6

IdentifierTypeStateIssuer
4324375OtherTXBLUE LINK ID (BCBS)
2490792OtherTXUHC PROVIDER NO.
1424679OtherTXCIGNA PROVIDER NO.
7824629OtherTXAETNA PROVIDER NO.
178434001MedicaidTX
0090MBOtherTXBCBS PROVIDER NO.

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
I20050128000655 TX Practitioner - General Surgery 3577513456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Kansas City, School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3215 Omega Dr
Arlington, TX 76014-2006
Phone (817) 466-7400

Hospital & facility affiliations

  • Medical City Arlington Hospital, Arlington, TX, CCN 450675

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Hernia repair - groin (open)33
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0209TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh S Padmanabhan MD PA CurrentSince Nov 14, 2004 Accepting new patients
Tarrant County Surgery Center LP PastSince Feb 26, 2008 Accepting new patients

Locations

3215 Omega Dr
Arlington, TX 76014
Phone (817) 466-7400

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

515 W Mayfield Rd
Ste 205
Arlington, TX 76014
Phone (608) 406-6869

2500 W Pleasant Run Rd
Ste 200
Lancaster, TX 75146
Phone (214) 881-6572

Organizations & group practices 2

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 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1962517516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142006",
            "telephone_number": "817-466-7400",
            "fax_number": "817-465-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142006",
            "telephone_number": "817-466-7400",
            "fax_number": "817-465-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANABHAN",
        "first_name": "RAJESH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M0209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK ID (BCBS)",
            "identifier": "4324375",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NO.",
            "identifier": "2490792",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NO.",
            "identifier": "1424679",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NO.",
            "identifier": "7824629",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178434001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "0090MB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.