Samatha Krishna Kadiyala, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

N4502 Issued in TX

Practice address

506 This Way St
Lake Jackson, TX 77566-5128

Phone

(979) 266-9544

Fax

(979) 529-9737

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Luke's Health Brazosport Hospital, Lake Jackson, TX, CCN 450072
• HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106
• Sweeny Community Hospital Hospital, Sweeny, TX, CCN 451311

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• TX HMO D-SNP
• TX HMO

Interoperability endpoints

• Direct secure messaging: samatha.kadiyala.1@8042.direct.athenahealth.com
• FHIR API: https://epicproxy.et0909.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Gulf Coast PLLC

  dba Express Pain and Urgent Care

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Pearland, L.P.

  dba HCA Houston Healthcare Pearland

  • General Acute Care Hospital
  • Pearland, TX
  • NPI 1609275585
  Care Compare affiliation
• Sweeny Hospital District

  dba Sweeny Community Hospital

  • Critical Access Hospital
  • Sweeny, TX
  • NPI 1023011657
  Care Compare affiliation
• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940
  Care Compare affiliation

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1003002627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DRIVE SOUTH",
            "address_2": "SUITE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665617",
            "telephone_number": "979-266-9544",
            "fax_number": "979-529-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 THIS WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665128",
            "telephone_number": "979-266-9544",
            "fax_number": "979-529-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIYALA",
        "first_name": "SAMATHA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N4502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206442001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Jones, H.T.ASCP
• Wanda Lanea Jones
• Melissa Juarez, LPC
• Chaewon Jung, DDS
• Ray Kabayadondo, PHARMD
• Kathleen E Sommers (Parking Way Pediatrics)
• Alyssa Dawn Kelly, LPTA
• Katherine Kemp, MOTR/L
• Deborah Kennemer, COTA
• Jade G Kestian

• Obstetrics & Gynecology Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.