Organization Active NPI

Padmaja Akkineni MD PA

  • Cardiovascular Disease Physician
  • Frisco, TX
National Provider Identifier
1336466150
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M1457 Issued in TX
Legal business name
PADMAJA AKKINENI MD PA
Practice address
5757 Warren Pkwy
Suite# 208
Frisco, TX 75034-4274
Phone
(972) 791-8225
Fax
(972) 767-3232
NPI assigned
May 4, 2010
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Padmaja Akkineni, M.D.NPI 1558541128
Title
Executive Member
Phone
(972) 791-8225

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
Cardiovascular Disease Physician 207RC0000X M1457 TX Primary

Addresses

Primary practice location

5757 Warren Pkwy
Suite# 208
Frisco, TX 75034-4274

Mailing address

7612 Memphis Dr
Plano, TX 75024-3988
Phone (214) 862-2978

Other identifiers 1

IdentifierTypeStateIssuer
2831976-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000128 TX Part B Supplier - Clinic/Group Practice 3072645720 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1336466150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 MEMPHIS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243988",
            "telephone_number": "214-862-2978",
            "fax_number": "972-767-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WARREN PKWY",
            "address_2": "SUITE# 208",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344274",
            "telephone_number": "972-791-8225",
            "fax_number": "972-767-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMAJA AKKINENI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "AKKINENI",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_title_or_position": "EXECUTIVE MEMBER",
        "authorized_official_telephone_number": "972-791-8225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831976-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.