Active NPI
Mahesh V Thenappan, MD
- Internal Medicine Physician
- Kyle, TX
National Provider Identifier
1013108208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N8586
- Practice address
- 4100 Everett Dr Ste 400
Kyle, TX 78640-6147 - Phone
- (512) 504-5186
- Fax
- (512) 504-5536
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N8586 | TX | Primary |
Addresses
Primary practice location
4100 Everett Dr Ste 400
Kyle, TX 78640-6147
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4651577876 | Other | MYUTMB 4651577876 | |
| 280051802 | Medicaid | TX | |
| 280051803 | Medicaid | TX | |
| 280051801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8586 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1013108208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 EVERETT DR STE 400",
"city": "KYLE",
"state": "TX",
"postal_code": "786406147",
"telephone_number": "512-504-5186",
"fax_number": "512-504-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THENAPPAN",
"first_name": "MAHESH",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N8586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 4651577876",
"identifier": "4651577876",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280051802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280051803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280051801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
- Texas Dispatch Solutions
- Texas Institute of Interventional Pulmonary & Sleep, LTD
- Texas Laparoendoscopic Surgery PLLC
- Texas Orthopedics Sports & Rehabilitation Associates PA
- Texas Physical Therapy Specialists
- Minh Khanh Therin, RPH
- Dakota Lynn Thomas-Harvey
- Carla Thomas
- Donovan Lee Thomas, DC
- India Leigh Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.