Individual provider Active NPI

Tejaswi Katakam, MD

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1629647755
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V1508 Issued in TX
Practice address
3041 Churchill Dr Ste 500
Flower Mound, TX 75022-5910
Phone
(214) 666-6259
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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
Family Medicine Physician 207Q00000X V1508 TX Primary

Addresses

Primary practice location

3041 Churchill Dr Ste 500
Flower Mound, TX 75022-5910

Mailing address

613 16TH St
Argyle, TX 76226-3389
Phone (571) 309-5636

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
I20250326000491 TX Practitioner - Family Practice 2961925417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PHP Ins TX PLLCGroup PAC ID 5698194702, 17 clinicians

Practice addresses (Care Compare)

3041 Churchill Dr
Suite 500
Flower Mound, TX 75022-5910
Phone (214) 666-6259

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V1508TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHP Ins TX PLLC CurrentSince Jan 15, 2025 Accepting new patients

Locations

3041 Churchill Dr
Ste 500
Flower Mound, TX 75022
Phone (972) 724-0500

8195 Custer Rd
Ste 110
Frisco, TX 75035
Phone (469) 830-8835

230 O Connor Ridge Blvd
#110
Irving, TX 75038

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 3

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1629647755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 16TH ST",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762263389",
            "telephone_number": "571-309-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHURCHILL DR STE 500",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225910",
            "telephone_number": "214-666-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAKAM",
        "first_name": "TEJASWI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "V1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.