Individual provider Active NPI

Vijaya Mummadi, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1003026410
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5268 Issued in TX
Practice address
9900 N Central Expy Ste 225
Dallas, TX 75231-0918
Phone
(469) 646-8880
Fax
(469) 646-8884
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301086385 MI
Internal Medicine Physician 207R00000X ME106499 FL
Internal Medicine Physician 207R00000X N5268 TX Primary

Addresses

Primary practice location

9900 N Central Expy Ste 225
Dallas, TX 75231-0918

Mailing address

9900 N Central Expy Ste 225
Dallas, TX 75231-0918
Phone (469) 646-8880

Other identifiers 1

IdentifierTypeStateIssuer
2172397MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101116000671 TX Practitioner - Internal Medicine 5597950543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8951 Collin McKinney Pkwy
Suite 301
McKinney, TX 75070-8475
Phone (214) 556-0847

9900 N Central Expy
Suite 225
Dallas, TX 75231-0918
Phone (469) 646-8880

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME106499FLMDInternal Medicine Physician
4301086385MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical, PLLC Internal Medicine CurrentSince Aug 6, 2013 Accepting new patients
McKinney Internal Medicine, PLLC CurrentSince Sep 6, 2016 Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 306
Dallas, TX 75231
Phone (214) 306-4030

9900 N Central Expy
Ste 225
Dallas, TX 75231
Phone (214) 265-0420

8951 Collin McKinney Pkwy
Ste 301
McKinney, TX 75070
Phone (214) 556-0847

8820 Collin McKinney Pkwy
McKinney, TX 75070

Interoperability endpoints

  • Direct secure messaging: vijaya.mummadi@dsml.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGBCD/Endpoint/BEGBCD

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1003026410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310918",
            "telephone_number": "469-646-8880",
            "fax_number": "469-646-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310918",
            "telephone_number": "469-646-8880",
            "fax_number": "469-646-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMADI",
        "first_name": "VIJAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086385",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106499",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2172397",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.