Individual provider Active NPI

Kavitha Ilayaraja, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1114546306
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U6976 Issued in TX
Practice address
11691 Independence Pkwy
110
Frisco, TX 75035
Phone
(945) 221-6442
Fax
(945) 221-6442
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U6976 TX Primary

Addresses

Primary practice location

11691 Independence Pkwy
110
Frisco, TX 75035

Mailing address

11691 Independence Pkwy
110
Frisco, TX 75035
Phone (945) 221-6442

Other practice location 1

3901 W 15th St
Plano, TX 75075-7738
Phone (972) 596-6800

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
I20241206000861 TX Practitioner - Internal Medicine 2466851118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

11691 Independence Pkwy
Suite 110
Frisco, TX 75035-4719
Phone (945) 221-6442

2301 Marsh LN
Plano, TX 75093-8497
Phone (954) 939-5000

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (954) 939-5000

5680 Frisco Square Blvd
Suite 3000
Frisco, TX 75034-3319
Phone (954) 939-5000

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Health PLLC Internal Medicine CurrentSince Jun 15, 2025 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

11691 Independence Pkwy
Ste 110
Frisco, TX 75035
Phone (945) 221-6442

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJDGDD/Endpoint/HJDGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAAJDD

Organizations & group practices 3

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 1

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1114546306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11691 INDEPENDENCE PKWY",
            "address_2": "110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "945-221-6442",
            "fax_number": "945-221-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11691 INDEPENDENCE PKWY",
            "address_2": "110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "945-221-6442",
            "fax_number": "945-221-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750757738",
            "country_code": "US",
            "telephone_number": "972-596-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILAYARAJA",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.