Individual provider Active NPI

Vasudeva Ranjit Mudipalli, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1093756439
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9473 Issued in TX
Practice address
11212 TX-151
San Antonio, TX 78251
Phone
(830) 542-8566
Fax
(210) 802-2620
NPI assigned
Jun 9, 2006
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N9473 TX Primary

Addresses

Primary practice location

11212 TX-151
San Antonio, TX 78251

Mailing address

PO Box 780188
San Antonio, TX 78278-0188
Phone (830) 542-8566

Other identifiers 2

IdentifierTypeStateIssuer
101448658MedicaidPA
2823999MedicaidTX

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
I20110621000190 TX Practitioner - Family Practice 6103846183 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bexar Physician Services, PLLCGroup PAC ID 6305298720, 23 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8000

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

6700 W Ih
Suite 10
San Antonio, TX 78201-2009
Phone (210) 736-6700

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

9119 Cinnamon HL
San Antonio, TX 78240-5401
Phone (830) 542-8566

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
S&C Healthcare, PLLC Family Medicine CurrentSince Dec 12, 2019 Accepting new patients
Bexar Physician Services, PLLC CurrentSince Dec 24, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients

Locations

1501 S Coulter St
Ste 405
Amarillo, TX 79106
Phone (806) 358-7388

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

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

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2034 Sundance Pkwy
New Braunfels, TX 78130
Phone (732) 744-6293

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

9119 Cinnamon Hl
San Antonio, TX 78240
Phone (210) 690-1901

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 8

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 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1093756439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780188",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782780188",
            "telephone_number": "830-542-8566",
            "fax_number": "210-802-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 TX-151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "830-542-8566",
            "fax_number": "210-802-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDIPALLI",
        "first_name": "VASUDEVA",
        "middle_name": "RANJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101448658",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2823999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.