Individual provider Active NPI

Sasikanth Nallagatla, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1366603722
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
N5273 Issued in TX
Practice address
3303 Rogers Rd Ste 250
San Antonio, TX 78251-3688
Phone
(210) 417-4142
Fax
(210) 702-3372
NPI assigned
Jun 18, 2008
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X N5273 TX Primary
Pulmonary Disease Physician 207RP1001X N5273 TX

Addresses

Primary practice location

3303 Rogers Rd Ste 250
San Antonio, TX 78251-3688

Mailing address

10004 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2214
Phone (210) 417-4142

Other identifiers 1

IdentifierTypeStateIssuer
287724304MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000411 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5092991349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Texas Intensivists, PLLCGroup PAC ID 7810342672, 37 clinicians

Practice addresses (Care Compare)

2827 Babcock Rd
San Antonio, TX 78229-4813
Phone (210) 705-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince Mar 18, 2024 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Aug 1, 2021 Accepting new patients
Alamo Lung Institute, PA Pulmonary Disease PastSince Nov 1, 2007 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

11212 State Highway 151
Ste 190
San Antonio, TX 78251
Phone (210) 417-4142

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1366603722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 WURZBACH RD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302214",
            "telephone_number": "210-417-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513688",
            "telephone_number": "210-417-4142",
            "fax_number": "210-702-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLAGATLA",
        "first_name": "SASIKANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "N5273",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N5273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287724304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.