Dr Surendra Haridas Raythatha, MD is a medicare enrolled "Family Medicine" physician in Atascocita, Texas. He graduated from medical school in 1967 and has 58 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rajiv Agarwal Md Pa and his current practice location is
7821 Fm 1960 Rd E, Atascocita, Texas. You can reach out to his office (for appointments etc.) via phone at
(832) 644-8930.
Dr Surendra Haridas Raythatha is licensed to practice in Texas (license number Q1717) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407054026.
Physician's Profile
| Full Name | Dr Surendra Haridas Raythatha |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 58 Years |
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| Location | 7821 Fm 1960 Rd E, Atascocita, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Surendra Haridas Raythatha graduated from medical school in 1967
NPI Data:
- NPI Number: 1407054026
- Provider Enumeration Date: 07/05/2007
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800799032
- Enrollment ID: I20210607000190
Medical Identifiers
Medical identifiers for Dr Surendra Haridas Raythatha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407054026 | NPI | - | NPPES |
| 0790012 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2763572 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | SR040618 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | Q1717 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rajiv Agarwal Md Pa | 6305184011 | 20 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Surendra Haridas Raythatha allows following entities to bill medicare on his behalf.
| Entity Name | Villagemd Of Southeast Texas Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841643327
PECOS PAC ID: 4587947346
Enrollment ID: O20170202000474 |
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| Entity Name | Rajiv Agarwal Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720550015
PECOS PAC ID: 6305184011
Enrollment ID: O20190205000851 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Surendra Haridas Raythatha is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Surendra Haridas Raythatha, MD
18980 W Memorial Dr Ste 100,
Humble, TX 77338-4559
Ph: (832) 644-8930 | Dr Surendra Haridas Raythatha, MD
7821 Fm 1960 Rd E,
Atascocita, TX 77346-2205
Ph: (832) 644-8930 |
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