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RAJENDRA G PANDYA M.D
NPI 1265442420
Internal Medicine - Infectious Disease in Houston, TX

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
12025 LOUETTA RD STE B, HOUSTON, TX 77070(281) 251-7888(281) 251-4222 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajendra G Pandya M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJENDRA G PANDYA M.D (NPI 1265442420) is an individual infectious disease provider in Houston, Texas, licensed in Texas (52723) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1265442420
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameRAJENDRA G PANDYACredential: M.D
Location Address12025 LOUETTA RD STE BHouston, TX 77070-1149
Mailing Address12025 Louetta Rd Ste BHouston, TX 77070-1149 · (281) 251-7888 · Fax (281) 251-4222
Phone(281) 251-7888
Fax(281) 251-4222
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 9, 2006
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1265442420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TX · 52723
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
12025 LOUETTA RD STE B, Houston, TX 77070
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Secondary Practice Location 1

Location 112025 Louetta Rd Ste DHouston, TX 77070-1149 · Phone (281) 251-7888 · Fax (281) 251-4222

Other Identifiers 1

Medicaid135653706TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajendra G Pandya M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294798112
PECOS Enrollment IDI20101207001263
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,065 services220 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
216 services191 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
119 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
60 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FADY ELIAS EL-SAGHBINI M.D.
Internal Medicine (Infectious Disease)
12025 LOUETTA RD STE B
HOUSTON, TX 77070
Harris County (281) 251-7888
DR. BRIJESH RAVAL MD
Internal Medicine (Infectious Disease)
12025 LOUETTA RD STE B
HOUSTON, TX 77070
Harris County (281) 251-7888
INFECTIOUS DISEASES & TRAVEL MEDICINE SPECIALIST PA
Specialist
12025 LOUETTA RD STE B
HOUSTON, TX 77070
Harris County (281) 215-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajendra Pandya's NPI number?

The NPI number for Rajendra Pandya is 1265442420. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Rajendra Pandya located?

Rajendra Pandya practices at 12025 Louetta Rd Ste B, Houston, TX 77070. The listed phone number is (281) 251-7888.

What is Rajendra Pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Rajendra Pandya enrolled in Medicare?

Yes. Rajendra Pandya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rajendra Pandya accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Rajendra Pandya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rajendra Pandya affiliated with any hospitals?

According to CMS data, Rajendra Pandya is affiliated with Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Rajendra Pandya was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.