Individual provider Active NPI

Rajayogesh Davuluri, MD

  • Radiation Oncology Physician
  • Webster, TX
National Provider Identifier
1972865731
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
R2317 Issued in TX
Practice address
501 W Medical Center Blvd
Webster, TX 77598-4219
Phone
(281) 332-7505
Fax
(281) 332-7616
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10043084 TX
Internal Medicine Physician 207R00000X R2317 TX
Radiation Oncology Physician 2085R0001X R2317 TX Primary

Addresses

Primary practice location

501 W Medical Center Blvd
Webster, TX 77598-4219

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

1709 Dryden Rd # 5.70
Houston, TX 77030-2400
Phone (713) 798-0190

Other practice location 2

1709 Dryden Rd # 5.70
Houston, TX 77030-2400
Phone (713) 798-0190

Other practice location 3

1350 First Colony Blvd
Sugar Land, TX 77479-4308
Phone (281) 277-5200

Other identifiers 2

IdentifierTypeStateIssuer
369404401MedicaidTX
369404402MedicaidTX

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
I20170426000816 TX Practitioner - Radiation Oncology 8123305372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

501 W Medical Ctr Blvd
Webster, TX 77598-4219
Phone (281) 332-7505

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10043084TXMDInternal Medicine Physician
R2317TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Radiation Oncology CurrentSince Jun 1, 2017 Accepting new patients
Texas Oncology PA Radiation Oncology Current Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Jun 1, 2017 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1350 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 276-3467

501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926

Interoperability endpoints

  • Direct secure messaging: raj.davuluri@txo.ikm.direct-ci.com

Organizations & group practices 3

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972865731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984219",
            "telephone_number": "281-332-7505",
            "fax_number": "281-332-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Dryden Rd # 5.70",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302400",
            "country_code": "US",
            "telephone_number": "713-798-0190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Dryden Rd # 5.70",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302400",
            "country_code": "US",
            "telephone_number": "713-798-0190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 First Colony Blvd",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774794308",
            "country_code": "US",
            "telephone_number": "281-277-5200",
            "fax_number": "281-276-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVULURI",
        "first_name": "RAJAYOGESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10043084",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R2317",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "R2317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369404401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369404402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.