Individual provider Active NPI

Chaithanya Mallikarjun, MD

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1114101904
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P9220 Issued in TX
Practice address
19284 Stone Oak Pkwy
104
San Antonio, TX 78258-3473
Phone
(210) 268-0124
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X MD.201765 LA
Gastroenterology Physician 207RG0100X P9220 TX Primary

Addresses

Primary practice location

19284 Stone Oak Pkwy
104
San Antonio, TX 78258-3473

Mailing address

19284 Stone Oak Pkwy
104
San Antonio, TX 78258-3473
Phone (210) 598-4730

Other identifiers 1

IdentifierTypeStateIssuer
1027324MedicaidLA

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
I20141008002295 TX Practitioner - Gastroenterology 3971685090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tulane University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

150 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-4099
Phone (210) 775-2265

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Merit-based Incentive Payment System (MIPS)

Final score
75.84 of 100Reported as group
Quality
71.5
Improvement activities
40
Cost
57.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Upper gastrointestinal (GI) endoscopy for acid reflux137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9220TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seema a Dar, MD PA Gastroenterology CurrentSince Oct 1, 2014 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Dec 1, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Dec 1, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Joycelyn M. Theard M.D,P.a. Past Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

11212 State Highway 151
Ste 270
San Antonio, TX 78251
Phone (210) 268-0156

19284 Stone Oak Pkwy
Ste 102
San Antonio, TX 78258
Phone (210) 268-0124

19284 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 268-0120

150 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (512) 271-0606

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

Interoperability endpoints

  • Direct secure messaging: chaithanya.mallikarjun@hca9.eclinicaldirectplus.com

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.

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1114101904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19284 STONE OAK PKWY",
            "address_2": "104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583473",
            "telephone_number": "210-598-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 STONE OAK PKWY",
            "address_2": "104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583473",
            "telephone_number": "210-268-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIKARJUN",
        "first_name": "CHAITHANYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "LA",
            "license": "MD.201765",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P9220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027324",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.