Individual provider Active NPI

Bopanna Muckatira, M.D.

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1114922713
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L4072 Issued in TX
Practice address
1025 Cypress St
Abilene, TX 79601-4117
Phone
(325) 670-6900
Fax
(325) 670-6905
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301065426 MI
Internal Medicine Physician 207R00000X L4072 TX Primary
Internal Medicine Physician 207R00000X 4301065426 MI

Addresses

Primary practice location

1025 Cypress St
Abilene, TX 79601-4117

Mailing address

1904 Pine St
Ste 1 E
Abilene, TX 79601-2449
Phone (325) 670-6900

Other identifiers 3

IdentifierTypeStateIssuer
0059NAOtherTXBCBSTX
1795775-01MedicaidTX
BM065426OtherMIBCBSM

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
I20051116000696 TX Practitioner - Internal Medicine 3971537283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

1904 Pine St
Suite 1E
Abilene, TX 79601-2450
Phone (325) 670-6900

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.08 of 100Reported as individual
Quality
28.33
Improvement activities
40
Cost
82.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301065426MIMDInternal Medicine Physician
L4072TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology of Abilene and West Texas PLLC CurrentSince Dec 21, 2025 Accepting new patients
Hendrick Medical Center Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Hendrick Medical Center CurrentSince Jul 1, 2011 Accepting new patients
Quantum Hospital Medicine Services of Texas PA Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients

Locations

1904 Pine St
Ste 1E
Abilene, TX 79601
Phone (325) 670-6900

1025 Cypress St
Abilene, TX 79601
Phone (325) 670-6900

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

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.

Hospital & facility affiliations 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1114922713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST",
            "address_2": "STE 1 E",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012449",
            "telephone_number": "325-670-6900",
            "fax_number": "325-670-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CYPRESS ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014117",
            "telephone_number": "325-670-6900",
            "fax_number": "325-670-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKATIRA",
        "first_name": "BOPANNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301065426",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4072",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301065426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0059NA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795775-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "BM065426",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.