Kavitha R Donthireddy, MD
Individual provider Active NPI Hematology & Oncology Physician · Dallas, TX
NPI 1508048513 · NPPES record last updated Nov 21, 2016
Key facts
- NPI
- 1508048513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- N0737 (TX)
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7201 - Phone
- (214) 645-4673
- Fax
- (214) 645-0078
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Texas Health Science Center at Tyler-Facilty-Physician
Practice addresses (Care Compare)
11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7200
Hospital & facility affiliations
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Jacksonville Hospital
- Ut Health East Texas Quitman Hospital
- Ut Health East Texas Athens Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212000303 | TX | Practitioner - Hematology/Oncology |
0648352930 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians of Texas I, Inc | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current |
Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current |
Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
115 Medical Cir
Ste 106
Athens, TX 75751
Phone (903) 284-5024
11937 Us Hwy 271
Dallas, TX 75284
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- kdonthireddy59179@direct.hfhs.org
- kdonthireddy576358@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | N0737 | TX | Yes |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-4673
Other providers in Dallas, TX
- John Anthony Donovan Jr.
- Katie Donovan
- Alan Donsky
- Michael S Donsky
- Jordan Donson
- Florence Dontoh
- Donza J. Rogers, M.D., P.L.L.C.
- Cristin B Dooley
- Glenn Raymond Dooley
- Kimberly D Dooley
All providers in Dallas, TX · Hematology & Oncology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.