Padmajarani Gottipolu, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N6878 Issued in TX

Practice address

8080 Independence Pkwy Ste 200
Plano, TX 75025-4002

Phone

(972) 596-9511

Fax

(972) 867-8163

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rani Gottipolu Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• North Texas Village Health Partners, PA

  • Family Medicine Physician
  • Plano, TX
  • NPI 1396881884
  Medicare reassignment NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1295792299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244237",
            "telephone_number": "972-599-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254002",
            "telephone_number": "972-596-9511",
            "fax_number": "972-867-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTIPOLU",
        "first_name": "PADMAJARANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46731",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291806201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291806202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANI",
            "last_name": "GOTTIPOLU",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Goshen Healthcare Services, LLC
• Heather Elizabeth Gotcher, M.ED.
• Sander Jay Gothard, M.D.
• Colleen Amelia Gothman, RN
• Lindsey Denise Gottardy, PT
• Ava Joy Gottlieb, LCSW
• Darlene Erica Gou, M.D.
• Alison Nicole Pulec Gouin, PA-C
• Monica Govindarajan, LPC
• Daniel Gowan, LCDC, LPC-S

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.