Active NPI
Leena Pathikonda, D.O.
- Internal Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BP10056893
- Practice address
- 3417 Gaston Ave Ste 1000
Dallas, TX 75246 - Phone
- (469) 800-9000
- NPI assigned
- May 23, 2016
- Last updated
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10056893 | TX | Primary |
Addresses
Primary practice location
3417 Gaston Ave Ste 1000
Dallas, TX 75246
Mailing address
3417 Gaston Ave Ste 1000
Dallas, TX 75246-2037
Phone (469) 800-9000
Other practice location 1
441 N. Beckley Avenue
Dallas, TX 75203
Phone (214) 947-8999
Other practice location 2
441 N. Beckley Avenue
Dallas, TX 75203
Phone (214) 947-8999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpathikonda556764@direct.sw.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10056893 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Arze Medical PLLC | Current | Accepting new patients |
Locations
3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648
8130 Meadow Rd
Dallas, TX 75231
Phone (214) 765-3300
4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440
5242 Medical Dr
Rockwall, TX 75032
Phone (469) 248-5853
250 W British Flying School Blvd
Terrell, TX 75160
Phone (469) 434-1145
Organizations & group practices 3
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.
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1306293089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 GASTON AVE STE 1000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462037",
"telephone_number": "469-800-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 GASTON AVE STE 1000",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "469-800-9000"
}
],
"practiceLocations": [
{
"address_1": "441 N. Beckley Avenue",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75203",
"country_code": "US",
"telephone_number": "214-947-8999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "441 N. Beckley Avenue",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75203",
"country_code": "US",
"telephone_number": "214-947-8999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATHIKONDA",
"first_name": "LEENA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10056893",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpathikonda556764@direct.sw.org",
"affiliation": "N",
"address_1": "3417 Gaston Ave Ste 1000",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "75246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.