Active NPI
P Raju Indukuri, M.D.
- Psychiatry Physician
- Hurst, TX
National Provider Identifier
1982611513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H7433
- Practice address
- 669 Airport Fwy Ste 309
Hurst, TX 76053-3984 - Phone
- (817) 222-9907
- Fax
- (817) 222-9909
- NPI assigned
- Aug 3, 2006
- Last updated
- Dec 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H7433 | TX | Primary |
Addresses
Primary practice location
669 Airport Fwy Ste 309
Hurst, TX 76053-3984
Mailing address
669 Airport Fwy Ste 309
Hurst, TX 76053-3984
Phone (817) 222-9907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sas Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- rajuindukurimd.rajuindukuri@151448.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Fort Worth, TX
- NPI 1932382165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1982611513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 AIRPORT FWY STE 309",
"city": "HURST",
"state": "TX",
"postal_code": "760533984",
"telephone_number": "817-222-9907",
"fax_number": "817-222-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 AIRPORT FWY STE 309",
"city": "HURST",
"state": "TX",
"postal_code": "760533984",
"telephone_number": "817-222-9907",
"fax_number": "817-222-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDUKURI",
"first_name": "P",
"middle_name": "RAJU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H7433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
- Clinton Yardley Hyatt, D.D.S.
- Hys Regen PLLC
- Impel Management Services, LLC (Specialized Diagnostic Imaging)
- In Home Health LLC (Heartland Home Health Care)
- In Home Health LLC (Heartland Hospice Services)
- Pauline N Ireagbu George, PMHNP
- Kelly Michelle Isbell, D.O.
- Ispinerenew PLLC
- Abdul-Rahman Youssef Itani, D.O.
- J. Michael Merrill, D.O., P.a. (Hurst Family Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.