Individual provider Active NPI

Durga Prasad Mekala, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Arlington, TX
National Provider Identifier
1235340290
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
N8039 Issued in TX
Practice address
3132 Matlock Rd
Suite 311
Arlington, TX 76015-2910
Phone
(817) 987-1414
Fax
(817) 987-1425
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116018184 VA
Geriatric Medicine (Family Medicine) Physician 207QG0300X N8039 TX Primary

Addresses

Primary practice location

3132 Matlock Rd
Suite 311
Arlington, TX 76015-2910

Mailing address

3132 Matlock Rd
Suite 311
Arlington, TX 76015-2910
Phone (817) 987-1414

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
I20120106000384 TX Practitioner - Family PracticePractitioner - General PracticePractitioner - Geriatric Medicine 9931375334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116018184VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Practice PLLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Parker County Hospital District Past Accepting new patients

Locations

3600 S Cooper St
Ste 120
Arlington, TX 76015
Phone (817) 899-0721

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1235340290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD",
            "address_2": "SUITE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152910",
            "telephone_number": "817-987-1414",
            "fax_number": "814-987-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD",
            "address_2": "SUITE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152910",
            "telephone_number": "817-987-1414",
            "fax_number": "817-987-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKALA",
        "first_name": "DURGA",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116018184",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N8039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.