Organization Active NPI

Laxman Kalvakuntla MD PLLC

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1316454499
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J2627 Issued in TX
Legal business name
LAXMAN KALVAKUNTLA MD PLLC
Practice address
830 S Mason Rd Ste A4
Katy, TX 77450-3863
Phone
(281) 392-8010
Fax
(281) 392-4861
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Mr. Laxman Kalvakuntla, MDNPI 1013913623
Title
Owner
Phone
(281) 392-8010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J2627 TX Primary

Addresses

Primary practice location

830 S Mason Rd Ste A4
Katy, TX 77450-3863

Mailing address

830 S Mason Rd Ste A4
Katy, TX 77450-3863
Phone (281) 392-8010

Other identifiers 1

IdentifierTypeStateIssuer
1013913623OtherSOLO NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180123000182 TX Part B Supplier - Clinic/Group Practice 8820357791 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

830 S Mason Rd
Ste A4
Katy, TX 77450
Phone (281) 392-2222

21234 Kingsland Blvd
Katy, TX 77450
Phone (281) 392-2222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1316454499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S MASON RD STE A4",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503863",
            "telephone_number": "281-392-8010",
            "fax_number": "281-392-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MASON RD STE A4",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503863",
            "telephone_number": "281-392-8010",
            "fax_number": "281-392-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAXMAN KALVAKUNTLA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "KALVAKUNTLA",
        "authorized_official_first_name": "LAXMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-392-8010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO NPI",
            "identifier": "1013913623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.