Organization Active NPI

Deepali Tukaye PLLC

  • Interventional Cardiology Physician
  • League City, TX
National Provider Identifier
1366283723
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
DEEPALI TUKAYE PLLC
Practice address
2555 Gulf Fwy S Ste 500
League City, TX 77573-6742
Phone
(832) 400-2778
NPI assigned
Jun 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Deepali Tukaye, MDNPI 1730404120
Title
Owner
Phone
(410) 961-4914

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
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2555 Gulf Fwy S Ste 500
League City, TX 77573-6742

Mailing address

1411 Palmetto Dr
League City, TX 77573-3043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241003001265 TX Part B Supplier - Clinic/Group Practice 0345786497 Receives reassigned benefits from 1 practitioner
Practice locations: League City, TX; Webster, TX; Houston, TX; Friendswood, TX

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": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1366283723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 PALMETTO DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 GULF FWY S STE 500",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736742",
            "telephone_number": "832-400-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPALI TUKAYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "TUKAYE",
        "authorized_official_first_name": "DEEPALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-961-4914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.