NPIMap

Individual provider Active NPI

Swapna Katipally, M.D.

  • Nephrology Physician
  • Muncie, IN
National Provider Identifier
1487098141
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01074653A Issued in IN
Practice address
3025 N Oakwood Ave
Muncie, IN 47304-2261
Phone
(765) 298-4120
Fax
(765) 751-3377
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.022359
Nephrology Physician 207RN0300X 01074653A IN Primary

Addresses

Primary practice location

3025 N Oakwood Ave
Muncie, IN 47304-2261

Mailing address

PO Box 506
Yorktown, IN 47396-0506
Phone (765) 298-4120

Other identifiers 1

IdentifierTypeStateIssuer
200112430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001635 TX Practitioner - NephrologyPractitioner - Internal Medicine 1456595370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone (972) 274-5555

Hospital & facility affiliations

  • USRC Premier McKinney Dialysis facility, McKinney, TX, CCN 742584
  • DaVita Prosper Dialysis Dialysis facility, Prosper, TX, CCN 742559
  • FMC Frisco Dialysis facility, Frisco, TX, CCN 672838
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Methodist Celina Medical Center Hospital, Celina, TX, CCN 670340
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Renal Group PA Nephrology CurrentSince Sep 1, 2021 Accepting new patients

Locations

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD
  • Direct secure messaging: skatipally1817541@direct.texashealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1487098141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473960506",
            "telephone_number": "765-298-4120",
            "fax_number": "765-751-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N OAKWOOD AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042261",
            "telephone_number": "765-298-4120",
            "fax_number": "765-751-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIPALLY",
        "first_name": "SWAPNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "57.022359",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01074653A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.