Individual provider Active NPI

Gurubasappa V Motgi, M.D.

  • Neurology Physician
  • Desoto, TX
National Provider Identifier
1285626572
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J1738 Issued in TX
Practice address
1001 Robbie Mince Way
Ste C
Desoto, TX 75115
Phone
(214) 943-3681
Fax
(214) 941-9490
NPI assigned
Aug 22, 2005
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J1738 TX Primary

Addresses

Primary practice location

1001 Robbie Mince Way
Ste C
Desoto, TX 75115

Mailing address

1001 Robbie Mince Way Ste C
Desoto, TX 75115-2012
Phone (214) 943-3681

Other identifiers 1

IdentifierTypeStateIssuer
047145002MedicaidTX

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
I20080228000134 TX Practitioner - Neurology 5092899195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
62.67
Promoting interoperability
87
Improvement activities
40
Cost
77.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Neuroscience PA Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: guru.motgi.1@1343.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9382/brand/1/csg/1/fhir/r4

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, 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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1285626572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROBBIE MINCE WAY STE C",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152012",
            "telephone_number": "214-943-3681",
            "fax_number": "214-941-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROBBIE MINCE WAY",
            "address_2": "STE C",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "75115",
            "telephone_number": "214-943-3681",
            "fax_number": "214-941-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTGI",
        "first_name": "GURUBASAPPA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047145002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.