Organization Active NPI

Mesquite Anesthesiology Association, PA

  • Anesthesiology Physician
  • Mesquite, TX
National Provider Identifier
1346351640
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MESQUITE ANESTHESIOLOGY ASSOCIATION, PA
Practice address
3500 Interstate 30
Mesquite, TX 75150-2636
Phone
(972) 698-3300
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Nagaraj S Kikkeri, MDNPI 1396745311
Title
Owner
Phone
(972) 681-7246

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3500 Interstate 30
Mesquite, TX 75150-2636

Mailing address

PO Box 870638
Mesquite, TX 75187-0638
Phone (972) 681-7246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1346351640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870638",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751870638",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 INTERSTATE 30",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502636",
            "telephone_number": "972-698-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE ANESTHESIOLOGY ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KIKKERI",
        "authorized_official_first_name": "NAGARAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-681-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.