Active NPI
Raghu Athre, MD PA
- Facial Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1992983878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- M4701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M4701 | TX | |
| Facial Plastic Surgery Physician | 207YS0123X | M4701 | TX | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | M4701 | TX | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | M4701 | TX | |
| Otolaryngology/Facial Plastic Surgery Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2328833 | Raghu Athre MD PA | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.