NPIMap

Individual provider Active NPI

Venkatachalam Mulukutla, M.D.

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1225275654
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
N3916 Issued in TX
Practice address
4301 N Mesa St Ste 100
El Paso, TX 79902-1118
Phone
(915) 532-6767
Fax
(915) 532-4023
NPI assigned
Jan 7, 2009
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X N3916 TX
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X N3916 TX Primary

Addresses

Primary practice location

4301 N Mesa St Ste 100
El Paso, TX 79902-1118

Mailing address

4301 N Mesa St Ste 100
El Paso, TX 79902-1118
Phone (915) 532-6767

Other practice location 1

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000396 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880850171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Cardiology Associates, P.a.Group PAC ID 9335130137, 24 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

1418 George Dieter Dr
Suite 210
El Paso, TX 79936-7651
Phone (915) 532-6767

4301 N Mesa St
Suite 104
El Paso, TX 79902-1118
Phone (915) 532-6767

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

7450 Remcon Cir
El Paso, TX 79912-3508
Phone (915) 532-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.24 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
74.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3916TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Cardiology Associates, P.a. Single Specialty CurrentSince Sep 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center El Paso Single Specialty CurrentSince Dec 10, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso Single Specialty Current Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Dec 10, 2020 Accepting new patients
Advanced Sonography Solutions LLC Single Specialty CurrentSince Nov 15, 2021 Accepting new patients
Cogent Healthcare of Texas, PA Single Specialty CurrentSince Mar 11, 2019 Accepting new patients
Michael J Deluca MD PA Single Specialty PastSince Dec 13, 2020 Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1418 George Dieter Dr
Ste 210
El Paso, TX 79936
Phone (915) 532-6767

4301 N Mesa St
Ste 100
El Paso, TX 79902
Phone (915) 532-6767

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

7450 Remcon Cir
El Paso, TX 79912
Phone (915) 532-6767

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: venkatachalam.mulukutla@direct.myhealthep.org

Organizations & group practices 8

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 6

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": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1225275654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021118",
            "telephone_number": "915-532-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021118",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULUKUTLA",
        "first_name": "VENKATACHALAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N3916",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.