Active NPI
Malladi R. Sastry, MD, PA
- Pulmonary Disease Physician
- Plano, TX
National Provider Identifier
1164790150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- E4934
- Legal business name
- MALLADI R. SASTRY, MD, PA
- Practice address
- 4100 W 15TH St
Suite 216
Plano, TX 75093-5803 - Phone
- (972) 596-2135
- Fax
- (972) 596-7382
- NPI assigned
- Dec 6, 2011
- Last updated
- Dec 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Malladi R Sastry, M.D.
- Title
- Owner/Physician
- Phone
- (972) 596-2135
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | E4934 | TX | Primary |
Addresses
Primary practice location
4100 W 15TH St
Suite 216
Plano, TX 75093-5803
Mailing address
4100 W 15TH St
Suite 216
Plano, TX 75093-5803
Phone (972) 596-2135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Critical Care Medicine (Internal Medicine) Physician
- Plano, TX
- NPI 1275615098
Pulmonary Disease
-
- Surgery Physician
- Dallas, TX
- NPI 1982873220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1164790150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 W 15TH ST",
"address_2": "SUITE 216",
"city": "PLANO",
"state": "TX",
"postal_code": "750935803",
"telephone_number": "972-596-2135",
"fax_number": "972-596-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 15TH ST",
"address_2": "SUITE 216",
"city": "PLANO",
"state": "TX",
"postal_code": "750935803",
"telephone_number": "972-596-2135",
"fax_number": "972-596-7382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALLADI R. SASTRY, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "SASTRY",
"authorized_official_first_name": "MALLADI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "972-596-2135",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "E4934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.