Organization Active NPI

Kavitha Moolamalla,MD.PA

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1275876039
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K1573 Issued in TX
Legal business name
KAVITHA MOOLAMALLA,MD.PA
Practice address
8080 State Highway 121
Suite 240
McKinney, TX 75070-2900
Phone
(214) 644-5360
Fax
(214) 644-5364
NPI assigned
Mar 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Kavitha Moolamalla, MD
Title
Ceo
Phone
(214) 644-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K1573 TX Primary

Addresses

Primary practice location

8080 State Highway 121
Suite 240
McKinney, TX 75070-2900

Mailing address

8080 State Highway 121
Suite 240
McKinney, TX 75070-2900
Phone (214) 644-5360

Other names 1

  • Kavitha Moolamalla,MD.PA Other name

National Provider Directory

National Provider Directory

Locations

8080 State Highway 121
Ste 240
McKinney, TX 75070
Phone (214) 644-5360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7075/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1275876039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 STATE HIGHWAY 121",
            "address_2": "SUITE 240",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702900",
            "telephone_number": "214-644-5360",
            "fax_number": "214-644-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 STATE HIGHWAY 121",
            "address_2": "SUITE 240",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702900",
            "telephone_number": "214-644-5360",
            "fax_number": "214-644-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVITHA MOOLAMALLA,MD.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MOOLAMALLA",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-644-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kavitha Moolamalla,MD.PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.