Individual provider Active NPI

Koteshwara Rao Nadipalli, M.D

  • Family Medicine Physician
  • The Colony, TX
National Provider Identifier
1164600235
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1007 Issued in TX
Practice address
3800 Main St Ste 100
The Colony, TX 75056-2838
Phone
(972) 666-4422
Fax
(972) 688-6191
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N1007 TX
Family Medicine Physician 207Q00000X N1007 TX Primary

Addresses

Primary practice location

3800 Main St Ste 100
The Colony, TX 75056-2838

Mailing address

2812 Fountain Dr
Irving, TX 75063-3530
Phone (469) 955-6333

Other names 1

  • Koteshwara Rao Nandipalli Former 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
I20130628000100 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0749348357 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3800 Main St
Suite 100
The Colony, TX 75056-2838
Phone (972) 666-4422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Sep 2, 2021 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Feb 28, 2024 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
South Central Physicians PLLC CurrentSince Sep 20, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Sep 2, 2021 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Jun 15, 2024 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Aug 23, 2019 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Nov 4, 2023 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 10, 2023 Accepting new patients
Carter Emergency Physicians Emergency Medicine Past Accepting new patients
Finger Lakes Emergency Physicians Emergency Medicine Past Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients
Alexander Spring Emergency Physicians Emergency Medicine Past Accepting new patients

Locations (25 of 35)

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

2744 W University Dr
Edinburg, TX 78539
Phone (956) 380-8080

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1164600235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 FOUNTAIN DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633530",
            "telephone_number": "469-955-6333",
            "fax_number": "972-688-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MAIN ST STE 100",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562838",
            "telephone_number": "972-666-4422",
            "fax_number": "972-688-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIPALLI",
        "first_name": "KOTESHWARA",
        "middle_name": "RAO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N1007",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOTESHWARA",
            "last_name": "NANDIPALLI",
            "middle_name": "RAO",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Colony, TX

Sources for this page

Verify at the official NPI Registry.