Individual provider Active NPI

Praveen Kumar Thangada, MD

  • Specialist
  • Seguin, TX
National Provider Identifier
1023078250
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7226 Issued in TX
Practice address
634 E Court St
Ste 102
Seguin, TX 78155-5725
Phone
(830) 303-1819
Fax
(830) 379-0816
NPI assigned
Mar 23, 2006
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J7226 TX Primary

Addresses

Primary practice location

634 E Court St
Ste 102
Seguin, TX 78155-5725

Mailing address

115 Gallery Cir
Ste 300
San Antonio, TX 78258-3389
Phone (830) 303-1819

Other identifiers 1

IdentifierTypeStateIssuer
099550802MedicaidTX

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
I20070221000287 TX Practitioner - Neurology 8527160688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Gallery Cir
Suite 300
San Antonio, TX 78258-3389
Phone (210) 403-2074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Valley Neurology and Electrodiagnostics,P a Specialist CurrentSince Feb 10, 2009 Accepting new patients

Locations

115 Gallery Cir
Ste 300
San Antonio, TX 78258
Phone (210) 654-7246

634 E Court St
Seguin, TX 78155
Phone (210) 303-1819

634 E Court St
Ste 102
Seguin, TX 78155
Phone (830) 303-1819

Organizations & group practices 1

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

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1023078250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GALLERY CIR",
            "address_2": "STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583389",
            "telephone_number": "830-303-1819",
            "fax_number": "830-379-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 E COURT ST",
            "address_2": "STE 102",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555725",
            "telephone_number": "830-303-1819",
            "fax_number": "830-379-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGADA",
        "first_name": "PRAVEEN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099550802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.