Nagaraj S Kikkeri, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

K9584 Issued in TX

Practice address

3865 Childress Ave
Suite a
Mesquite, TX 75150-2802

Phone

(972) 681-7246

Fax

(972) 681-8946

NPI assigned

Aug 1, 2005

Reactivated

Apr 4, 2006

Last updated

Oct 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

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

Specialty

Pain ManagementAlso: Anesthesiology, Interventional Pain Management

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kikkeri International PAGroup PAC ID 1254359938, 5 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Merit-based Incentive Payment System (MIPS)

Final score

93.6 of 100Reported as group

Quality

89.59

Promoting interoperability

99

Improvement activities

40

Cost

73.64

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDGDAA

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.

• Kikkeri International, PA

  dba Advanced Pain Solutions

  • Pain Medicine (Anesthesiology) Physician
  • Mesquite, TX
  • NPI 1104937218
  Medicare reassignment Care Compare group NPD Authorized official
• Mesquite Professional Anesthesia, PA

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1831209949
  Medicare reassignment NPD Authorized official
• Mesquite Anesthesiology Association, PA

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1346351640
  NPD (past) Authorized official
• North Texas Team Care Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Mesquite, TX
  • NPI 1528377678
  NPD (past) Authorized official
• Whiterock Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1629189733
  NPD (past) Authorized official
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Care Compare group
• Garland Anesthesia

  • Certified Registered Nurse Anesthetist
  • Richardson, TX
  • NPI 1437285525
  NPD
• Garland Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1710047840
  NPD
• Assured Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Garland, TX
  • NPI 1396022927
  NPD (past)
• Parkhill Physician Group, PLLC

  • Pediatric Anesthesiology Physician
  • Plano, TX
  • NPI 1689715252
  NPD (past)
• Vincent Young, M.D., P.a.

  • Specialist
  • Dallas, TX
  • NPI 1235166125
  NPD (past)

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

• Hunt Memorial Hospital District

  dba Hunt Regional

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1396745311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502802",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHILDRESS AVE",
            "address_2": "SUITE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502802",
            "telephone_number": "972-681-7246",
            "fax_number": "972-681-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKKERI",
        "first_name": "NAGARAJ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2016-10-07",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K9584",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K9584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MPA",
            "identifier": "8M0103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097018807",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "610792000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WRA",
            "identifier": "8M0110",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097018808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MAA",
            "identifier": "8K5591",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KIKKERI INTERANTIONA",
            "identifier": "8R5340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awadis Khshvadjian
• Noura Ahmed Khushafa, MD
• Fredica Kiawu
• Isam S Kiblawi, M.D.
• Kikkeri International, PA (Advanced Pain Solutions)
• Alexandra Killings, PHARMD
• David S Kim, MD
• Yun J Kim, DNP
• Ericia Shante Kinds, RN
• Jordan King, CCC-SLP

• Interventional Pain Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.