NPIMap

Individual provider Active NPI

Pallavi Kakulavar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Angleton, TX
National Provider Identifier
1649230087
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
M1810 Issued in TX
Practice address
721 W. Mulberry St.
Angleton, TX 77515-9145
Phone
(281) 536-7698
Fax
(815) 642-8581
NPI assigned
Mar 27, 2006
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M1810 TX Primary

Addresses

Primary practice location

721 W. Mulberry St.
Angleton, TX 77515-9145

Mailing address

PO Box 841149
Pearland, TX 77584-9145

Other identifiers 3

IdentifierTypeStateIssuer
8CD607OtherTXBCBS
P00821763OtherTXPALMETTO GPA-RAILROAD MEDICARE
175943302MedicaidTX

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
I20050913001122 TX Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5395702146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pallavi Kakulavar MD PAGroup PAC ID 4880734730, 3 clinicians

Practice addresses (Care Compare)

2750 Miller Ranch Rd
Pearland, TX 77584-9763
Phone (713) 770-5300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pallavi Kakulavar MD PA Geriatric Medicine CurrentSince Oct 27, 2009 Accepting new patients
Geriatric Associates of America, P.a. Geriatric Medicine Past Accepting new patients
Chambers County Public Hospital District No 1 Past Accepting new patients

Locations

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2750 Miller Ranch Rd
Pearland, TX 77584
Phone (713) 770-5300

17231 Mill Forest Rd
Webster, TX 77598
Phone (281) 488-5224

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Country Village CareAngleton, TX, CCN 675696 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 1, 2026
May 1, 2026
May 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1649230087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841149",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W. MULBERRY ST.",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775159145",
            "telephone_number": "281-536-7698",
            "fax_number": "815-642-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKULAVAR",
        "first_name": "PALLAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M1810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CD607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GPA-RAILROAD MEDICARE",
            "identifier": "P00821763",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175943302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.