Individual provider Active NPI

Anuradha Lekkala Mundluru, MD

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1225038862
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3801 Issued in TX
Practice address
929 N Galloway Ave
Suite 104
Mesquite, TX 75149-7414
Phone
(972) 216-0079
NPI assigned
Jul 26, 2005
Last updated
Oct 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3801 TX Primary

Addresses

Primary practice location

929 N Galloway Ave
Suite 104
Mesquite, TX 75149-7414

Mailing address

929 N Galloway Ave
Suite 104
Mesquite, TX 75149-2476
Phone (972) 216-0079

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
I20080104000357 TX Practitioner - Internal Medicine 5597845495 Reassigns benefits to 1 organization
Practice locations: Mesquite, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

125 E Grubb Dr
109 Wellmed at Mesquite
Mesquite, TX 75149-3402
Phone (972) 285-6349

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine Current Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Always Available Visiting Physicians Internal Medicine Past Accepting new patients
Always Available Health Care Inc. Past Accepting new patients

Locations

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: anuradha.mundluru@wellmed.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1225038862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "SUITE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492476",
            "telephone_number": "972-216-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N GALLOWAY AVE",
            "address_2": "SUITE 104",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751497414",
            "telephone_number": "972-216-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDLURU",
        "first_name": "ANURADHA",
        "middle_name": "LEKKALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.