Individual provider Active NPI

Murtaza Mahesri, MD

  • Internal Medicine Physician
  • Huntsville, TX
National Provider Identifier
1437253739
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1538 Issued in TX
Practice address
130 Medical Center Pkwy Ste 1
Huntsville, TX 77340-4943
Phone
(936) 436-1786
Fax
(936) 435-1109
NPI assigned
Sep 8, 2006
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1538 TX Primary

Addresses

Primary practice location

130 Medical Center Pkwy Ste 1
Huntsville, TX 77340-4943

Mailing address

PO Box 8101
Huntsville, TX 77340-0002
Phone (936) 436-1786

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051219000138 TX Practitioner - Internal MedicinePractitioner - Family Practice 2466473418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Medical Ctr Pkwy
Suite 1
Huntsville, TX 77340-4943
Phone (936) 436-1786

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Plus Care, PA Internal Medicine CurrentSince Nov 1, 1998 Accepting new patients
Internal Medicine Associates of Huntsville, PLLC Internal Medicine Past Accepting new patients
Day N Night Medical Supply, LP PastSince Aug 22, 2013 Accepting new patients

Locations

119 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (936) 291-7878

119 Medical Park Ln
Ste D
Huntsville, TX 77340
Phone (936) 277-1000

130 Medical Center Pkwy
Ste 1
Huntsville, TX 77340
Phone (936) 291-8205

1524 11th St
Ste B
Huntsville, TX 77340
Phone (936) 436-1786

Interoperability endpoints

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

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1437253739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8101",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773400002",
            "telephone_number": "936-436-1786",
            "fax_number": "936-435-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER PKWY STE 1",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404943",
            "telephone_number": "936-436-1786",
            "fax_number": "936-435-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHESRI",
        "first_name": "MURTAZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.