NPI age
21 years
Enumerated 2005-05-31
● Active
Type 1 · Individual
Nandkishore B Raghuram, M.D.
Raghuram is 1 of 6 pediatrics providers in Amarillo and 1 of 383 in Texas.
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
TX, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 383 active pediatrics providers in Texas.
NPI age
21 years
↑ 5 yr above median (16 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
1
In the 58% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-05Enumerated in NPPES
2005
2026
Where they practice
Practice location
1600 Wallace Blvd, 2nd Floor, Picu
Amarillo, TX 79106
Mailing address
Po Box 840026
Dallas, TX 752840026
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
602 Indiana Ave
Lubbock, TX 794153364
Location 3
1836 South Ave
La Crosse, WI 546015429
Specialties
-
Pediatrics PrimaryA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
-
AnesthesiologyAn anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 177246904 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 126 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.