Organization Active NPI

Raghu Athre, MD PA

  • Facial Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1992983878
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
M4701 Issued in TX
Legal business name
RAGHU ATHRE, MD PA
Practice address
2414 Ella Blvd
Houston, TX 77008-2710
Phone
(281) 557-3223
Fax
(281) 557-0164
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Dr. Raghu Sudarshan Athre, MD
Title
President
Phone
(281) 557-3223

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X M4701 TX
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X M4701 TX Primary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X M4701 TX
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X M4701 TX
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X 058678 GA

Addresses

Primary practice location

2414 Ella Blvd
Houston, TX 77008-2710

Mailing address

2414 Ella Blvd
Houston, TX 77008-2710
Phone (281) 557-3223

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
45D2328833Raghu Athre MD PA2414 Ella Blvd, Houston, TX 77008Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

2414 Ella Blvd
Houston, TX 77008
Phone (281) 557-3223

1015 W Medical Center Blvd
Ste 1500
Webster, TX 77598
Phone (281) 557-3223

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1992983878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082710",
            "telephone_number": "281-557-3223",
            "fax_number": "281-557-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082710",
            "telephone_number": "281-557-3223",
            "fax_number": "281-557-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHU ATHRE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "ATHRE",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_middle_name": "SUDARSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-557-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M4701",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "M4701",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "M4701",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "M4701",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "058678",
            "primary": false
        }
    ],
    "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 Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.