Organization Active NPI

Koteshwara Nadipalli PLLC

  • Family Medicine Physician
  • The Colony, TX
National Provider Identifier
1386045391
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KOTESHWARA NADIPALLI PLLC
Practice address
3800 Main St Ste 100
The Colony, TX 75056-2838
Phone
(972) 666-4422
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Koteshwara Rao NadipalliNPI 1164600235
Title
Physician
Phone
(469) 955-6333

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3800 Main St Ste 100
The Colony, TX 75056-2838

Mailing address

3800 Main St Ste 100
The Colony, TX 75056-2838
Phone (972) 666-4422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206001734 TX Part B Supplier - Clinic/Group Practice 5698090058 Receives reassigned benefits from 2 practitioners
Practice locations: The Colony, 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
45D2299856Koteshwara Nadipalli, PLC3800 Main St Suite 100, The Colony, TX 75056Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

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": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1386045391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MAIN ST STE 100",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562838",
            "telephone_number": "972-666-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MAIN ST STE 100",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562838",
            "telephone_number": "972-666-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTESHWARA NADIPALLI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "NADIPALLI",
        "authorized_official_first_name": "KOTESHWARA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "469-955-6333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.