Individual provider Active NPI

Aparna Mukkamala, MD

  • Internal Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1164643953
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A96540 Issued in CA
Practice address
1401 Medical Pkwy
BLDG B, #220
Cedar Park, TX 78613-7464
Phone
(512) 324-4083
Fax
(512) 324-4717
NPI assigned
May 1, 2007
Last updated
Dec 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A96540 CA Primary
Internal Medicine Physician 207R00000X M9518 TX

Addresses

Primary practice location

1401 Medical Pkwy
BLDG B, #220
Cedar Park, TX 78613-7464

Mailing address

2100 Powell St
Ste 900
Emeryville, CA 94608-1844
Phone (510) 350-2600

Other identifiers 5

IdentifierTypeStateIssuer
199418801MedicaidTX
199418803MedicaidTX
199418804MedicaidTX
199418802MedicaidTX
00A965400MedicaidCA

Other names 1

  • Aparna Venigalla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070926000515 CA Practitioner - Internal MedicinePractitioner - Hospitalist 3577658269 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

1580 Winchester Blvd
Suite 202
Campbell, CA 95008-0519
Phone (408) 364-7600

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

828 S Winchester Blvd
San Jose, CA 95128-2930
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96540CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Nov 10, 2018 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Jul 20, 2025 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Aug 17, 2020 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
El Camino Health Medical Group CurrentSince Jul 20, 2025 Accepting new patients
County of Santa Clara Internal Medicine Current Accepting new patients
County of Santa Clara CurrentSince Nov 10, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
California Emergency Physicians CurrentSince Oct 19, 2021 Accepting new patients
California Emergency Physicians CurrentSince Oct 19, 2021 Accepting new patients
County of Santa Clara CurrentSince Nov 10, 2018 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Evergreen Sleep Center Past Accepting new patients

Locations

1580 S Winchester Blvd
Ste 202
Campbell, CA 95008
Phone (408) 364-7600

50 E Hamilton Ave
Ste 100
Campbell, CA 95008
Phone (408) 364-7600

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

14966 Terreno de Flores Ln
Los Gatos, CA 95032
Phone (408) 356-8136

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1359 Pine St
#1112
San Francisco, CA 94109
Phone (415) 673-8405

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

554 Blossom Hill Rd
San Jose, CA 95123
Phone (408) 281-2772

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

Interoperability endpoints

  • Direct secure messaging: amukkamala47616@santaclaravalley.direct-ci.net
  • Direct secure messaging: aparna.mukkamala@620821020676.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1164643953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY",
            "address_2": "BLDG B, #220",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137464",
            "telephone_number": "512-324-4083",
            "fax_number": "512-324-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKKAMALA",
        "first_name": "APARNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96540",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199418801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199418803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199418804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199418802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A965400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APARNA",
            "last_name": "VENIGALLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.