Organization Active NPI

Lalitha Jagadish, M.D., P.a

  • Internal Medicine Physician
  • Burleson, TX
National Provider Identifier
1124212162
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LALITHA JAGADISH, M.D., P.A
Practice address
11803 South Fwy
Suite 201
Burleson, TX 76028-7012
Phone
(817) 293-4800
Fax
(817) 293-4808
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Lalitha Jagadish, M.D.NPI 1982654554
Title
Officer
Phone
(817) 293-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11803 South Fwy
Suite 201
Burleson, TX 76028-7012

Mailing address

PO Box 646
Crowley, TX 76036-0646
Phone (817) 293-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000526 TX Part B Supplier - Clinic/Group Practice 9739274952 Receives reassigned benefits from 2 practitioners
Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

12001 South Fwy
Ste 262
Burleson, TX 76028
Phone (817) 932-0805

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1124212162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760360646",
            "telephone_number": "817-293-4800",
            "fax_number": "817-293-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY",
            "address_2": "SUITE 201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287012",
            "telephone_number": "817-293-4800",
            "fax_number": "817-293-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALITHA JAGADISH, M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "JAGADISH",
        "authorized_official_first_name": "LALITHA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-293-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.