Individual provider Active NPI

Muralidhar Jatla, MD

  • Pediatric Gastroenterology Physician
  • Temple, TX
National Provider Identifier
1225239346
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
M6675 Issued in 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
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000096 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4284796087 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6675TXMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Pediatrics Current Accepting new patients
Scott & White Clinic Pediatrics CurrentSince Mar 10, 2010 Accepting new patients
Scott & White Clinic Pediatrics CurrentSince Mar 10, 2010 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Baylor Scott & White Medical Center - TempleTemple, TX, CCN 450054 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - TaylorTaylor, TX, CCN 451374 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Continuing Care HospitalTemple, TX, CCN 452105 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - Round RockRound Rock, TX, CCN 670034 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center TaylorTaylor, TX, CCN 45Z374 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - College StationCollege Station, TX, CCN 670088 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX, CCN 670108 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - PflugervillePflugerville, TX, CCN 670128 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - BudaBuda, TX, CCN 670131 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Medical Center - AustinAustin, TX, CCN 670136 Hospital Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Continuing Care HospitalTemple, TX, CCN 455069 Skilled nursing facility Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Hospice - TempleTemple, TX, CCN 451691 Hospice Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Hospice - WacoWaco, TX, CCN 451569 Hospice Operational/Managerial Control Jul 1, 2023
Baylor Scott & White - the Brenham ClinicBrenham, TX, CCN 673942 Rural health clinic Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Clinic - Horseshoe BayHorseshoe Bay, TX, CCN 458839 Rural health clinic Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Clinic - KingslandKingsland, TX, CCN 458686 Rural health clinic Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Clinic - Johnson CityJohnson City, TX, CCN 673417 Rural health clinic Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Clinic - San SabaSan Saba, TX, CCN 458799 Rural health clinic Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Clinic - Marble FallsMarble Falls, TX, CCN 458693 Rural health clinic Operational/Managerial Control Jul 1, 2023
Baylor Scott & White Clinic - LlanoLlano, TX, CCN 453413 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.

View all 22

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.

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

Verify at the official NPI Registry.