Renuka Vijay Basavaraju, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

K9020 Issued in TX

Practice address

2021 N Macarthur Blvd Ste 225
Irving, TX 75061-2219

Phone

(972) 253-4370

Fax

(855) 808-8622

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Renuka Ramarao Ghatrazu Former name

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

Specialty

RheumatologyAlso: Allergy/Immunology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allergy Rheumatology Immunology Associates of North Texas Ariant PLLCGroup PAC ID 6406103639, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
• Medical City Las Colinas Hospital, Irving, TX, CCN 450822

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ariant.renukabasavaraju@146414.advancedmd-direct.com

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.

• Allergy Rheumatology Immunology Associates of North Texas Ariant PLLC

  • Rheumatology Physician
  • Irving, TX
  • NPI 1922592658

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Medical Center at Irving

  • Psychiatric Hospital Unit
  • Irving, TX
  • NPI 1114268471
  Care Compare affiliation
• Baylor Medical Center at Irving

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1992700983
  Care Compare affiliation
• Columbia Medical Center of Las Colinas Inc

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1902857766
  Care Compare affiliation

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1982720199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 INDEPENDENCE PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354653",
            "telephone_number": "972-253-4370",
            "fax_number": "855-808-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "972-253-4370",
            "fax_number": "855-808-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Independence Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750354653",
            "country_code": "US",
            "telephone_number": "972-253-4370",
            "fax_number": "855-808-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASAVARAJU",
        "first_name": "RENUKA",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "K9020",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENUKA",
            "last_name": "GHATRAZU",
            "middle_name": "RAMARAO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Berenice Barraza
• Alison Barrera, MS, CCC-SLP
• Jennifer Jean Barry, LCSW, CCM
• Jo Ellen Bartholomew, LMFT
• Samata Basani, M.D
• Margaret Bascom, LPC-ASSOCIATE
• Jennifer Min-Wen Yin Bashour, M.D.
• Lauri Cherese Bass
• Tiffany Nicole Bass, MED, LPC
• Madison Bassett, PT,DPT

• Rheumatology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
• 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.