Vikas Venkata Mudgapalli, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

V3917 Issued in TX

Practice address

5109 Medical Dr
San Antonio, TX 78229-5068

Phone

(888) 852-3935

NPI assigned

Apr 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vmudgapalli50850@direct.utmsa.com

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.

• Texas Treatment Services LLC

  • Methadone Clinic
  • Fort Worth, TX
  • NPI 1932377082
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1659954451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295068",
            "telephone_number": "888-852-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Southwest Blvd",
            "address_2": "OSU HEALTH CARE CENTER",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74107",
            "country_code": "US",
            "telephone_number": "918-582-1980",
            "fax_number": "918-561-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUDGAPALLI",
        "first_name": "VIKAS",
        "middle_name": "VENKATA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "V3917",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "34.017805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE ID",
            "identifier": "H13538337",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MSK Billing Solutions LLC
• MSM Total Family Healthcare PLLC
• Carolina Mtanous
• Dalia Muayad
• Taralyn Muddiman
• Suzanne Mudge, LPC-S
• Ghanshyam R. Mudigonda, MD
• Vasudeva Ranjit Mudipalli, MD
• Jessica Brittain Sulser Mudrick, M.D.
• Tucker Randolph Mudrick, MD

• Adult Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.