Organization Active NPI

McKinney Internal Medicine, PLLC

  • Primary Care Clinic/Center
  • McKinney, TX
National Provider Identifier
1366994287
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MCKINNEY INTERNAL MEDICINE, PLLC
Practice address
8820 Collin McKinney Pkwy Ste 301
McKinney, TX 75070-2418
Phone
(469) 646-8880
Fax
(888) 714-0153
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Vijaya MummadiNPI 1003026410
Title
President
Phone
(214) 843-5141

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8820 Collin McKinney Pkwy Ste 301
McKinney, TX 75070-2418

Mailing address

8820 Collin McKinney Pkwy
McKinney, TX 75070-2418
Phone (469) 646-8880

Other practice location 1

8951 Collin Mckinney pkwy
ste 301
Mckinney, TX 75070
Phone (214) 556-0847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508000392 TX Part B Supplier - Clinic/Group Practice 4981981693 Receives reassigned benefits from 2 practitioners
Practice locations: McKinney, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2165220McKinney Internal Medicine, PLLC8820 Collin McKinney Parkway, McKinney, TX 75070Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Locations

8820 Collin McKinney Pkwy
McKinney, TX 75070

8820 Collin McKinney Pkwy
Ste 301
McKinney, TX 75070
Phone (469) 646-8880

Practitioners & affiliated clinicians

Practitioners 2

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1366994287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 COLLIN MCKINNEY PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702418",
            "telephone_number": "469-646-8880",
            "fax_number": "888-714-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 COLLIN MCKINNEY PKWY STE 301",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702418",
            "telephone_number": "469-646-8880",
            "fax_number": "888-714-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8951 Collin Mckinney pkwy",
            "address_2": "ste 301",
            "address_purpose": "LOCATION",
            "city": "Mckinney",
            "state": "TX",
            "postal_code": "75070",
            "country_code": "US",
            "telephone_number": "214-556-0847",
            "fax_number": "214-556-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCKINNEY INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "MUMMADI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-843-5141",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.