Individual provider Active NPI

Venkata Madhuri Koyya, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1205027232
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q4167 Issued in TX
Practice address
12221 Merit Dr.
Suite 1500
Dallas, TX 75251-2202
Phone
(214) 217-1911
Fax
(214) 217-1912
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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 Q4167 TX Primary
Hospitalist Physician 208M00000X Q4167 TX

Addresses

Primary practice location

12221 Merit Dr.
Suite 1500
Dallas, TX 75251-2202

Mailing address

12221 Merit Dr.
Suite 1500
Dallas, TX 75251-2202
Phone (214) 217-1911

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
I20160208001868 TX Practitioner - Internal Medicine 0042336901 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4167TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 11, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince May 11, 2020 Accepting new patients
Siripurapu Associates PLLC Medical Associates of North Texas Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 15, 2016 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine Past Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

12221 Merit Dr
Ste 1500
Dallas, TX 75251
Phone (214) 217-1900

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600

2001 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (972) 579-8485

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

2111 Fort Worth Hwy
Weatherford, TX 76086
Phone (817) 596-3700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1205027232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYYA",
        "first_name": "VENKATA",
        "middle_name": "MADHURI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q4167",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q4167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.