Active NPI
Southeast Texas Infectious Disease PLLC
- Infectious Disease Physician
- Beaumont, TX
National Provider Identifier
1992338370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- SOUTHEAST TEXAS INFECTIOUS DISEASE PLLC
- Practice address
- 2955 Harrison St Ste 204
Beaumont, TX 77702-1156 - Phone
- (092) 454-0761
- Fax
- (409) 245-0994
- NPI assigned
- Feb 13, 2020
- Last updated
- May 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shariq Rauf, MD
- Title
- Owner
- Phone
- (281) 942-8001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
2955 Harrison St Ste 204
Beaumont, TX 77702-1156
Mailing address
PO Box 590045
Houston, TX 77259-0045
Phone (281) 942-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2830 Calder St
#T
Beaumont, TX 77702
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Baytown, TX
- NPI 1528019023
-
- Infectious Disease Physician
- Beaumont, TX
- NPI 1467617597
-
- Family Nurse Practitioner
- Baytown, TX
- NPI 1265949176
-
- Family Nurse Practitioner
- Beaumont, TX
- NPI 1255965752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1992338370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 590045",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772590045",
"telephone_number": "281-942-8001",
"fax_number": "281-724-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 HARRISON ST STE 204",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021156",
"telephone_number": "092-454-0761",
"fax_number": "409-245-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST TEXAS INFECTIOUS DISEASE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-13",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "RAUF",
"authorized_official_first_name": "SHARIQ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-942-8001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Southeast Texas EMS
- Southeast Texas Eye Specialists, PLLC (Eye Centers Optical)
- Southeast Texas Gastroenterology Associates, P.a.
- Southeast Texas Homecare Specialists, Inc.
- Southeast Texas Imaging LLP
- Southeast Texas Intensivists, PLLC
- Southeast Texas Medical Associates (Gulf Coast Laboratory Services)
- Southeast Texas Medical Associates (Gulf Coast Diagnostic Services)
- Southeast Texas Medical Associates, LLP
- Southeast Texas Mobility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.