Kallumadanda PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N0872 Issued in TX

Legal business name

KALLUMADANDA PLLC

Doing business as

STM Primary Care Clinic

Practice address

901 E Esperanza Ave
McAllen, TX 78501-1424

Phone

(956) 688-8181

Fax

(956) 688-8034

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Vinnie D Kallumadanda, MDNPI 1912169459

Title

Medical Doctor/ Owner

Phone

(956) 688-8181

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• STM PRIMARY CARE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vinnie D Kallumadanda, MD

  • Family Medicine Physician
  • Edinburg, TX
  • NPI 1912169459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1548501984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E ESPERANZA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011424",
            "telephone_number": "956-688-8181",
            "fax_number": "956-688-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E ESPERANZA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785011424",
            "telephone_number": "956-688-8181",
            "fax_number": "956-688-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALLUMADANDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "KALLUMADANDA",
        "authorized_official_first_name": "VINNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/ OWNER",
        "authorized_official_telephone_number": "956-688-8181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0872",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5733",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912169459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588712848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STM PRIMARY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Faye (Justin Faye, MD)
• K-Berit LLC (RGV Medical Transport Service)
• K-RGV Medical Transport Service
• Yasitha Kakarlapudi, M.D.
• Nelson Rafael Kalaf, MD
• Sunand Monnaiah Kallumadanda, MD
• Hazem Bassam Kanaan, D.O.
• Lizy Babu Kandoth, REGISTERED NURSE
• Swarnalatha Kanneganti, M.D.
• Davender Kanwar, PHARMD

• Family Medicine Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.