Organization Active NPI

Mahesh Kottapalli, MD PA

Doing business as Infectious Diseases of Dallas

  • Infectious Disease Physician
  • Mesquite, TX
National Provider Identifier
1023265436
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
M1846 Issued in TX
Legal business name
MAHESH KOTTAPALLI, MD PA
Doing business as
Infectious Diseases of Dallas
Practice address
208 W Kearney St
107
Mesquite, TX 75149-3476
Phone
(972) 216-9511
Fax
(972) 216-9580
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
David Justiss
Title
Contact
Phone
(972) 216-9511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X M1846 TX Primary

Addresses

Primary practice location

208 W Kearney St
107
Mesquite, TX 75149-3476

Mailing address

PO Box 851376
Mesquite, TX 75185-1376
Phone (972) 216-9511

Other names 1

  • Infectious Diseases of Dallas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000683 TX Part B Supplier - Clinic/Group Practice 7214097989 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Desoto, TX; Waxahachie, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1023265436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851376",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851376",
            "telephone_number": "972-216-9511",
            "fax_number": "972-216-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W KEARNEY ST",
            "address_2": "107",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493476",
            "telephone_number": "972-216-9511",
            "fax_number": "972-216-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH KOTTAPALLI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "JUSTISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "972-216-9511"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Diseases of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.