Madhuri Latha Koganti, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

P0248 Issued in TX

Practice address

231 W Southlake Blvd Ste 100
Southlake, TX 76092-7037

Phone

(817) 865-6280

Fax

(817) 865-6287

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Neurology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Neurology

  Medicare reassignment NPD
• Nuview Health Texas PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
  • NPI 1922538461

  Neurology, TX

  Medicare reassignment NPD
• Neurology Associates of Metroplex, P.a.

  • Neurology Physician
  • Grapevine, TX
  • NPI 1417383233
  NPD Authorized official
• Neurology Associates of Metroplex, PA

  • Neurology Physician
  • Coppell, TX
  • NPI 1922421122
  NPD (past) Authorized official
• Healthtexas Provider Network

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Colleyville, TX
  • NPI 1235135906

  Neurology

  NPD

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

• Baylor Regional Medical Center at Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation
• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1467557124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927037",
            "telephone_number": "817-865-6280",
            "fax_number": "817-865-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927037",
            "telephone_number": "817-865-6280",
            "fax_number": "817-865-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGANTI",
        "first_name": "MADHURI",
        "middle_name": "LATHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P0248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288388601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory B Kloesel, O.D.
• Roger S Knapp II, MD
• John T Knight, M.D.
• Know Your Worth Counseling and Wellness
• Matthew Kobeszko, M.D.
• Adam Cash Kokenzie, ATC, LAT, MAT
• Emma Kolesky
• Kimberly Elaine Komon, PHD
• Kirk Justin Koogler, OD
• David E Kosmoski, MD

• Neurology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.