Individual provider Active NPI

Kishore Gadikota, M.D.

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1366616583
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R9062 Issued in TX
Practice address
5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175
Phone
(214) 473-2200
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 47119 KY
Pediatrics Physician 208000000X MD18839 ME
Pediatrics Physician 208000000X R9062 TX Primary

Addresses

Primary practice location

5655 W Spring Creek Pkwy Ste 200
Plano, TX 75024-4175

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2230

Other practice location 1

7777 Forest Ln
Medical City Dallas Children's Hospital
Texas, TX 75230
Phone (972) 566-7000

Other identifiers 1

IdentifierTypeStateIssuer
7100300710MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kishore.gadikota.1@30724.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47119KYMDPediatrics Physician
MD18839MEMDPediatrics Physician
R9062TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1366616583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2230",
            "fax_number": "606-437-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244175",
            "telephone_number": "214-473-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln",
            "address_2": "Medical City Dallas Children's Hospital",
            "address_purpose": "LOCATION",
            "city": "Texas",
            "state": "TX",
            "postal_code": "75230",
            "country_code": "US",
            "telephone_number": "972-566-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADIKOTA",
        "first_name": "KISHORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "47119",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD18839",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R9062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100300710",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kishore.gadikota.1@30724.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5655 W Spring Creek Pkwy Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750244175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.