Active NPI
Muralidhar Jatla, MD
- Pediatric Gastroenterology Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- M6675
- 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
- Last updated
- Sep 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M6675 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | M6675 | TX | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjatla10944@direct.sw.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6675 | TX | MD | Pediatric Gastroenterology Physician |
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
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
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Interoperability endpoints
- mjatla10944@direct.sw.org
Ownership & related parties
All facility ownership & control disclosures 20
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| 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 |
Owned or controlled facilities with NPI records 22
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Baylor Scott & White Medical Center - Buda
- General Acute Care Hospital
- Buda, TX
- NPI 1144781501
Operational/Managerial Control
-
dba Baylor Scott & White Medical Center - Pflugerville
- General Acute Care Hospital
- Pflugerville, TX
- NPI 1346729159
Operational/Managerial Control
-
dba Baylor Scott & White Medical Center - Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1902366305
Operational/Managerial Control
-
dba Baylor Scott & White- the Brenham Clinic
- Rural Health Clinic/Center
- Brenham, TX
- NPI 1902384951
Operational/Managerial Control
-
dba Baylor Scott & White Continuing Care Hospital
- Long Term Care Hospital
- Temple, TX
- NPI 1013085083
Operational/Managerial Control
-
dba Baylor Scott & White Continuing Care Hospital Skilled Nursing Facility
- Skilled Nursing Facility
- Temple, TX
- NPI 1639691603
Operational/Managerial Control
-
dba Baylor Scott & White Medical Center - College Station
- General Acute Care Hospital
- College Station, TX
- NPI 1265772362
Operational/Managerial Control
-
dba Baylor Scott & White Clinic - Marble Falls
- Rural Health Clinic/Center
- Marble Falls, TX
- NPI 1376844936
Operational/Managerial Control
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
Operational/Managerial Control
-
dba Baylor Scott & White Clinic - Johnson City
- Rural Health Clinic/Center
- Johnson City, TX
- NPI 1639511207
Operational/Managerial Control
-
dba Baylor Scott & White Clinic - Llano
- Rural Health Clinic/Center
- Llano, TX
- NPI 1699076257
Operational/Managerial Control
-
dba Baylor Scott & White Clinic - Kingsland
- Rural Health Clinic/Center
- Kingsland, TX
- NPI 1730480393
Operational/Managerial Control
Organizations & group practices 4
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Pediatrics
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1225239346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"address_2": "SCOTT & WHITE HOSPITAL",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2708",
"fax_number": "254-724-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATLA",
"first_name": "MURALIDHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M6675",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "M6675",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjatla10944@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 S 31st St",
"address_2": "Scott & White Hospital",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.