R. Kattegummula, M.D, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G6317 Issued in TX

Legal business name

R. KATTEGUMMULA, M.D, P.A.

Practice address

215 Oak Dr S Ste K
Lake Jackson, TX 77566-5618

Phone

(979) 297-1652

Fax

(979) 297-6322

NPI assigned

Feb 23, 2011

Last updated

Jun 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ranga Reddy Kattegummula, M.D.

Title

President

Phone

(979) 297-1652

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kin Yu Wong, D.O.

  • Family Medicine Physician
  • Richwood, TX
  • NPI 1962743229
  NPD (past)

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1417254756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE K",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665618",
            "telephone_number": "979-297-1652",
            "fax_number": "979-297-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE K",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665618",
            "telephone_number": "979-297-1652",
            "fax_number": "979-297-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. KATTEGUMMULA, M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "KATTEGUMMULA",
        "authorized_official_first_name": "RANGA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-297-1652",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000R41V2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland Prezas, D.O.
• Leah Price, OTR
• Primary Care Associates of Lake Jackson, PLLC
• Mark A Provenzano, O.D.
• Quad/Med, LLC
• Raj Dalal MD PA
• Emily Ramirez, DC
• Ramitra Dental Implants & Periodontics PLLC
• Danette Randall, P.T.
• Syed Rashid

• Internal Medicine Physician in Lake Jackson, TX
• Providers in Lake Jackson, 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 Jun 14, 2012; 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.