Individual provider Active NPI

Kiran K Panuganti, MD

  • Family Medicine Physician
  • Temple, TX
National Provider Identifier
1477782134
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6553 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-5119
Phone
(254) 724-2111
NPI assigned
Jul 2, 2009
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8878A WY
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X Q6553 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-5119

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

3000 N Interstate 35
Denton, TX 76201-5119
Phone (817) 250-4906

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpanuganti1161482@direct.sw.org

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
I20160318000468 TX Practitioner - Family Practice 4688820525 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

3000 N Interstate 35
Denton, TX 76201-5119
Phone (940) 898-7000

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

6601 W University Dr
McKinney, TX 75071-4822
Phone (469) 907-1355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8878AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Jan 1, 2023 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Feb 9, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 19, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC CurrentSince Aug 27, 2016 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2016 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Aug 27, 2016 Accepting new patients
Ameva Medical PLLC Family Medicine CurrentSince Nov 20, 2024 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Feb 9, 2024 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Texas Health Virtual Care CurrentSince Jan 1, 2023 Accepting new patients
Baylor Scott & White Medical Centers - Greater North Texas Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

6601 W University Dr
McKinney, TX 75071
Phone (214) 592-0086

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: kpanuganti1161482@direct.sw.org
  • Direct secure messaging: kpanuganti975779@direct.texashealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1477782134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765085119",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Interstate 35",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762015119",
            "country_code": "US",
            "telephone_number": "817-250-4906",
            "fax_number": "817-250-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANUGANTI",
        "first_name": "KIRAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "8878A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpanuganti1161482@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765085119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.