Muralidhar Jatla, MD
Individual provider Active NPI Pediatric Gastroenterology Physician · Temple, TX
NPI 1225239346 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1225239346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- License
- M6675 (TX)
- Practice address
- 2401 S 31St St
Scott & White Hospital
Temple, TX 76508-0001 - Phone
- (254) 724-2708
- Fax
- (254) 724-1425
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 20
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Scott & White Medical Center - Temple |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - Taylor |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Continuing Care Hospital |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - Round Rock |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center Taylor |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - College Station |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - Marble Falls |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - Pflugerville |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - Buda |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Medical Center - Austin |
Hospital | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Continuing Care Hospital |
Skilled nursing facility | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Hospice - Temple |
Hospice | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Hospice - Waco |
Hospice | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White - the Brenham Clinic |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Clinic - Horseshoe Bay |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Clinic - Kingsland |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Clinic - Johnson City |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Clinic - San Saba |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Clinic - Marble Falls |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
| Baylor Scott & White Clinic - Llano |
Rural health clinic | Operational/Managerial Control | Jul 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090102000096 | TX | Practitioner - Pediatric Medicine |
4284796087 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Pediatrics | Current |
Accepting new patients |
| Scott & White Clinic | Pediatrics | Current | Accepting new patients |
| Scott & White Clinic | Pediatrics | Current |
Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
1901 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 742-9256
1901 SW H K Dodgen Loop
Bldg 300
Temple, TX 76502
Phone (254) 935-4888
Interoperability endpoints
- mjatla10944@direct.sw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M6675 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | M6675 | TX | Yes |
Addresses
Primary practice location
2401 S 31St St
Scott & White Hospital
Temple, TX 76508-0001
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjatla10944@direct.sw.org | Direct |
Other providers in Temple, TX
- Ryan Edward Jarosek
- Jane Lida Jarosz
- Celeste Desiree Jarrett
- Holly Marie Jarzynka
- Gina Jasso
- Shahid Javaid
- Frank Jaworski
- Mistee Jefferies
- Alecia Jefferson
- Amy C Jefferson
All providers in Temple, TX · Pediatric Gastroenterology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.