Individual provider Active NPI

Karthikeyani Kathiresan, MD

  • Neurology Physician
  • Killeen, TX
National Provider Identifier
1063698967
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M8753 Issued in TX
Practice address
2301 S Clear Creek Rd #106
Killeen, TX 76549-4110
Phone
(254) 526-2343
Fax
(254) 526-1084
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP2002029780 TX
Neurology Physician 2084N0400X M8753 TX Primary

Addresses

Primary practice location

2301 S Clear Creek Rd #106
Killeen, TX 76549-4110

Mailing address

PO Box 1658
San Antonio, TX 78296-1658
Phone (254) 526-2343

Other identifiers 1

IdentifierTypeStateIssuer
198006202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, DE, MO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081229000231 TX Practitioner - NeurologyPractitioner - Internal Medicine 6709948730 Reassigns benefits to 2 organizations
I20240509001341 AR Practitioner - Neurology 6709948730 Reassigns benefits to 2 organizations
I20250314001410 DE Practitioner - Neurology 6709948730 Reassigns benefits to 1 organization
I20250709000226 MO Practitioner - Neurology 6709948730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Claymont, DE 19703
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

100 Municipal Dr
Gun Barrel City, TX 75156-3702
Phone (972) 449-0540

1000 W 10TH St
Rolla, MO 65401-2905
Phone (972) 449-0540

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (972) 449-0540

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (972) 449-0540

2000 S Palestine St
Athens, TX 75751-5610
Phone (972) 449-0540

208 Sologne CT
Little Rock, AR 72223-8915
Phone (972) 449-0540

2101 Pease St
Harlingen, TX 78550-8307
Phone (972) 449-0540

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone (972) 449-0540

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (972) 449-0540

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (972) 449-0540

3201 W
Suite 22
Corsicana, TX 75110-2450
Phone (972) 449-0540

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (972) 449-0540

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (972) 449-0540

500 N Highland Ave
Sherman, TX 75092-7354
Phone (972) 449-0540

506 E San Antonio St
Victoria, TX 77901-6060
Phone (972) 449-0540

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone (972) 449-0540

609 W Maple Ave
Springdale, AR 72764-5335
Phone (972) 449-0540

700 W Grove St
El Dorado, AR 71730-4416
Phone (972) 449-0540

801 Middleford Rd
Seaford, DE 19973-3636
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP2002029780TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piggott Community Hospital CurrentSince Mar 1, 2024 Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Piggott Community Hospital CurrentSince Mar 1, 2024 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince Apr 4, 2024 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

2093 Philadelphia Pike
Claymont, DE 19703
Phone (201) 308-3903

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2301 Holmes St
Kansas City, MO 64108

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

1741 E Bardin Rd
Arlington, TX 76018
Phone (817) 702-4987

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1063698967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1658",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782961658",
            "telephone_number": "254-526-2343",
            "fax_number": "254-526-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD #106",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-526-2343",
            "fax_number": "254-526-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHIRESAN",
        "first_name": "KARTHIKEYANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP2002029780",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M8753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198006202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.