Deepika Kilaru MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N1365 Issued in TX

Legal business name

DEEPIKA KILARU MD PA

Practice address

4100 Heritage Ave Ste 106
Grapevine, TX 76051-5716

Phone

(214) 455-0579

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Deepkia Kilaru, MD

Title

Owner

Phone

(214) 455-0579

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deepika Kilaru, M.D.

  • Internal Medicine Physician
  • Southlake, TX
  • NPI 1780836429
  Medicare reassignment NPD

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1376974345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHLAKE BLVD STE 120332",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926634",
            "telephone_number": "214-455-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE AVE STE 106",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515716",
            "telephone_number": "214-455-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPIKA KILARU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "KILARU",
        "authorized_official_first_name": "DEEPKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-455-0579",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Allen DC
• Dean Allen, DC
• Cari Debey, LPC
• Decatur Hospital Authority
• Patricia Ann Decker, PA
• Deformity Reconstruction Specialists PLLC
• Jenna Kathryn Deggs, DPT
• Christy Delgado
• Katrina Yvonne Deloney, LPC-S
• Robert V. Demartini, M.D.

• Internal Medicine Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.