Organization Active NPI

Ben Rapha Medical Clinic PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1992549596
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEN RAPHA MEDICAL CLINIC PLLC
Practice address
4910 Willowbend Blvd Ste B
Houston, TX 77035-3227
Phone
(713) 701-7802
Fax
(713) 347-2143
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dr. Santhosh Kumar, MDNPI 1134362676
Title
PCP
Phone
(713) 701-7802

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4910 Willowbend Blvd Ste B
Houston, TX 77035-3227

Mailing address

4910 Willowbend Blvd Ste B
Houston, TX 77035-3227
Phone (713) 701-7802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240810000318 TX Part B Supplier - Clinic/Group Practice 5799223640 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2309511Ben Rapha Medical Clinic PLLC4910 Willowbend Blvd Suite B, Houston, TX 77035Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

4910 Willowbend Blvd
Ste B
Houston, TX 77035
Phone (713) 701-7802

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1992549596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 WILLOWBEND BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770353227",
            "telephone_number": "713-701-7802",
            "fax_number": "713-347-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 WILLOWBEND BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770353227",
            "telephone_number": "713-701-7802",
            "fax_number": "713-347-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN RAPHA MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SANTHOSH",
        "authorized_official_title_or_position": "PCP",
        "authorized_official_telephone_number": "713-701-7802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.