Nacogdoches Cardiac Center, P.a.

Primary specialty

Nuclear Cardiology PhysicianTaxonomy code 207UN0901X

License

L05982 Issued in TX

Legal business name

NACOGDOCHES CARDIAC CENTER, P.A.

Practice address

1023 N Mound St
Suite K
Nacogdoches, TX 75961-4491

Phone

(936) 564-2099

Fax

(936) 564-2083

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Vijaya R Pokala, M.D., F.A.C.C.NPI 1205847522

Title

President

Phone

(936) 564-2099

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Vijaya R Pokala, M.D., F.A.C.C.

  • Interventional Cardiology Physician
  • Nacogdoches, TX
  • NPI 1205847522
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1437160777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE K",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-2099",
            "fax_number": "936-564-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE K",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-2099",
            "fax_number": "936-564-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACOGDOCHES CARDIAC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "POKALA",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-564-2099",
        "authorized_official_credential": "M.D., F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6917",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "L05982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179845601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mymd Connect, PLLC
• Mymd Select
• Jordyn Myska
• N Med
• Nachoniche Properties, LLC (Oak Manor Nursing Home)
• Nacogdoches Cardiac Imaging Center PLLC
• Nacogdoches Cardiovascular Associates PA
• Nacogdoches Counseling Services, PLLC
• Nacogdoches County Aging Committee, Inc.
• Nacogdoches County Hospital District (Nacogdoches Memorial Professional Group)

• Nuclear Cardiology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Nuclear Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.