Individual provider Active NPI

Kodlipet Dharmashankar, MD

  • Cardiovascular Disease Physician
  • Texas City, TX
National Provider Identifier
1154405116
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
P9324 Issued in TX
Practice address
6807 Emmett F Lowry Expy
Suite 108
Texas City, TX 77591-2546
Phone
(409) 945-5444
Fax
(409) 945-4133
NPI assigned
Oct 25, 2006
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45787 WI
Internal Medicine Physician 207R00000X ME102151 FL
Internal Medicine Physician 207R00000X P9324 TX
Cardiovascular Disease Physician 207RC0000X P9324 TX Primary

Addresses

Primary practice location

6807 Emmett F Lowry Expy
Suite 108
Texas City, TX 77591-2546

Mailing address

6807 Emmett F. Lowry Expy
Suite 108
Texas City, TX 77591
Phone (409) 945-5444

Other identifiers 1

IdentifierTypeStateIssuer
352395301MedicaidTX

Other names 1

  • Kodlipet Dharmashankar Other name

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
I20150806009780 TX Practitioner - Cardiovascular Disease (Cardiology) 8123182656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sid Acharya MD PAGroup PAC ID 0840288031, 3 clinicians
CPF Cardiology Associates, P.a.Group PAC ID 2961879184, 11 clinicians

Practice addresses (Care Compare)

450 Blossom St
Suite a
Webster, TX 77598-4228
Phone (409) 945-5444

6807 Emmett F Lowry Expy
Suite 108
Texas City, TX 77591-2546
Phone (409) 945-5444

6807 Emmett F Lowry Expy
Suite 108
Texas City, TX 77591-2547
Phone (409) 945-5444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME102151FLMDInternal Medicine Physician
45787WIMDInternal Medicine Physician
P9324TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sbah Cardiology Associates, PLLC Cardiovascular Disease CurrentSince Feb 11, 2024 Accepting new patients
Sid Acharya MD PA Cardiovascular Disease CurrentSince Jul 15, 2015 Accepting new patients
CPF Cardiology Associates, P.a. Cardiovascular Disease CurrentSince Oct 16, 2023 Accepting new patients
Adventhealth Primary Care Network Inc Internal Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Romtherapy New Jersey Medical PA Cardiovascular Disease PastSince Mar 17, 2024 Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients

Locations

6807 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 908-9555

6807 Emmett F Lowry Expy
Ste 108
Texas City, TX 77591
Phone (409) 945-5444

6807 Emmett F Lowry Expy
Ste 302D
Texas City, TX 77591
Phone (832) 905-5940

250 Blossom St
Webster, TX 77598
Phone (281) 724-0327

250 Blossom St
Ste 280
Webster, TX 77598
Phone (281) 338-0750

450 Blossom St
Ste A
Webster, TX 77598
Phone (281) 506-8720

450 Blossom St
Ste D
Webster, TX 77598
Phone (832) 905-4044

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1154405116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F. LOWRY EXPY",
            "address_2": "SUITE 108",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-945-5444",
            "fax_number": "409-945-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 108",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "409-945-5444",
            "fax_number": "409-945-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARMASHANKAR",
        "first_name": "KODLIPET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "45787",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102151",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9324",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P9324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352395301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KODLIPET",
            "last_name": "DHARMASHANKAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.