Active NPI
Naveen Kella MD PA
- Specialist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L5784
- Legal business name
- NAVEEN KELLA MD PA
- Practice address
- 9618 Huebner Road , Suite 120
San Antonio, TX 78240-1660 - Phone
- (210) 617-3670
- Fax
- (888) 316-9464
- NPI assigned
- Dec 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naveen Kella, M.D.
- Title
- Owner/Physician
- Phone
- (210) 617-3670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L5784 | TX | Primary |
Addresses
Primary practice location
9618 Huebner Road , Suite 120
San Antonio, TX 78240-1660
Mailing address
9618 Huebner Rd Ste 120
San Antonio, TX 78240-1775
Phone (210) 617-3670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150901000379 | TX | Part B Supplier - Clinic/Group Practice | 0840506283 |
Receives reassigned benefits from 5 practitioners Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryLocations
9618 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 617-3670
1010 NW Loop 410
#100A
San Antonio, TX 78213
Phone (210) 617-3670
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611273600000",
"number": "1659779155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9618 HUEBNER RD STE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401775",
"telephone_number": "210-617-3670",
"fax_number": "888-316-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9618 HUEBNER ROAD , SUITE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401660",
"telephone_number": "210-617-3670",
"fax_number": "888-316-9464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVEEN KELLA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-15",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A",
"authorized_official_last_name": "KELLA",
"authorized_official_first_name": "NAVEEN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "210-617-3670",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "L5784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.