Vishnu K Rumalla

Primary specialty

SpecialistTaxonomy code 174400000X

License

L8932 Issued in TX

Practice address

1870 Keller Pkwy
Suite 100
Keller, TX 76248-3766

Phone

(817) 334-0030

Fax

(817) 741-6802

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Prof. Tarrant Plastic Surgery Professional name

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Miami, LM Miller School of Medicine, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tarrant Plastic Surgery, P.a.

  • Specialist
  • Keller, TX
  • NPI 1740453836
  Medicare reassignment NPD
• Vishnu K Rumalla, M.D.

  • Specialist
  • Fort Worth, TX
  • NPI 1134365802
  NPD (past) Authorized official
• Jonathan B. Heistein, MD, PA

  • Plastic Surgery Physician
  • Fort Worth, TX
  • NPI 1114162807
  NPD (past)
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1215964572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 KELLER PKWY",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483766",
            "telephone_number": "817-334-0030",
            "fax_number": "817-741-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 KELLER PKWY",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483766",
            "telephone_number": "817-334-0030",
            "fax_number": "817-741-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMALLA",
        "first_name": "VISHNU",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARRANT PLASTIC",
            "last_name": "SURGERY",
            "prefix": "PROF.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lynette Rorer, BCBA
• Makala Anne Roth
• Round Moon Speech Therapy, PLLC
• Jill Sarah Rowland, PA-C
• Smita Kasat Rumalla, M.D.
• Elvira Rusak
• Colleen Marie Ryan, MD
• William Alovsius Ryan, DDS
• Christopher W Rylee, DC
• Sacred Ground Psychotherapy, PLLC

• Specialist in Keller, TX
• Providers in Keller, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.