Individual provider Active NPI

Karuna R Vangala, MD

  • Internal Medicine Physician
  • Cedar Hill, TX
National Provider Identifier
1235105784
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G4692 Issued in TX
Practice address
420 N Highway 67 Ste D1
Cedar Hill, TX 75104-6069
Phone
(972) 291-7181
Fax
(972) 291-0687
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 G4692 TX Primary

Addresses

Primary practice location

420 N Highway 67 Ste D1
Cedar Hill, TX 75104-6069

Mailing address

420 N Highway 67 Ste D1
Cedar Hill, TX 75104-6069
Phone (972) 291-7181

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
I20040831000122 TX Practitioner - Internal Medicine 0648245910 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4692TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients

Locations

316 W Belt Line Rd
Ste 100
Cedar Hill, TX 75104
Phone (972) 291-7181

420 N Highway 67
Ste D1
Cedar Hill, TX 75104
Phone (972) 291-7181

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

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1235105784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N HIGHWAY 67 STE D1",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046069",
            "telephone_number": "972-291-7181",
            "fax_number": "972-291-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N HIGHWAY 67 STE D1",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046069",
            "telephone_number": "972-291-7181",
            "fax_number": "972-291-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGALA",
        "first_name": "KARUNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.