Active NPI
Deepa Reddy Moparty, MD
- Internal Medicine Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BP10027618
- Practice address
- 4700 Alliance Blvd Ste 400
Plano, TX 75093-5323 - Phone
- (469) 814-6631
- Fax
- (469) 814-3110
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10027618 | TX | Primary |
Addresses
Primary practice location
4700 Alliance Blvd Ste 400
Plano, TX 75093-5323
Mailing address
4700 Alliance Blvd Ste 400
Plano, TX 75093-5323
Phone (469) 814-6631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173882-01 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Alliance Blvd
Plano, TX 75093-5323
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10027618 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network--Dallas Diagnostic Association | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas-Dallas Diagnostic Association | Internal Medicine | Current | Accepting new patients |
| Amatus Hospice and Palliative Care LLC | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- dmoparty262373@direct.sw.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Amatus Hospice and Palliative Care LLC | Hospice | 5% Or Greater Direct Ownership Interest (33.3%) Corporate Director (33.3%) Operational/Managerial Control (33.3%) |
Sep 4, 2019 Sep 4, 2019 Sep 4, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Farmers Branch, TX
- NPI 1013447614
5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Dermatology Physician
- Garland, TX
- NPI 1255337275
Internal Medicine
-
- Internal Medicine Physician
- Plano, TX
- NPI 1245235886
-
- Community Based Hospice Care Agency
- Farmers Branch, TX
- NPI 1013447614
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1093914962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 ALLIANCE BLVD STE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935323",
"telephone_number": "469-814-6631",
"fax_number": "469-814-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 ALLIANCE BLVD STE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935323",
"telephone_number": "469-814-6631",
"fax_number": "469-814-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOPARTY",
"first_name": "DEEPA",
"middle_name": "REDDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10027618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173882-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.