Praveen Moolamalla, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K3346 Issued in TX

Practice address

1575 Heritage Drive
Suite 203
McKinney, TX 75069

Phone

(214) 856-4483

Fax

(214) 856-4487

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1114935954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HERITAGE DRIVE",
            "address_2": "SUITE 203",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "214-856-4483",
            "fax_number": "214-856-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HERITAGE DRIVE",
            "address_2": "SUITE 203",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "214-856-4483",
            "fax_number": "214-856-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOLAMALLA",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K3346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122416401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shacarol Monteiro, MS, LPC
• Esequiel Montes de Oca, R.N.
• Cassandra Erin Montgomery, M.S., CCC-SLP
• Robert Leonard Monzingo Jr., P.A.-C.
• Kavitha Moolamalla
• Rachel S Moon, D.M.D
• Mooncat Living, LLC
• Moore Transitions MHT LLC
• Brittany N. Moore-Hymes, DNP, AGPCNP-C
• Brakia Moore

• Psychiatry Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.