NPIMap

Organization Active NPI

Mahesh Kottapalli, M.D., P.a.

  • Infectious Disease Physician
  • Desoto, TX
National Provider Identifier
1093020620
Registry record updated Aug 6, 2010
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, M.D., P.A.
Practice address
2727 Bolton Boone Dr
Suite109
Desoto, TX 75115-2019
Phone
(972) 283-2370
Fax
(972) 296-0311
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Mahesh Babu Kottapalli, M.D.NPI 1245252733
Title
President
Phone
(972) 283-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1846 TX
Infectious Disease Physician 207RI0200X M1846 TX Primary

Addresses

Primary practice location

2727 Bolton Boone Dr
Suite109
Desoto, TX 75115-2019

Mailing address

2727 Bolton Boone Dr
Suite109
Desoto, TX 75115-2019
Phone (972) 283-2370

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
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
Tax ID family
Mahesh B Kottapalli MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 Rvg Pkwy
#101
Waxahachie, TX 75165
Phone (972) 283-2370

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1093020620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR",
            "address_2": "SUITE109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370",
            "fax_number": "972-296-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR",
            "address_2": "SUITE109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370",
            "fax_number": "972-296-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH KOTTAPALLI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "KOTTAPALLI",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "BABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-283-2370",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1846",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.