NPIMap

Individual provider Active NPI

Kavitha Pinnamaneni, M.D.

  • Hematology & Oncology Physician
  • Lufkin, TX
National Provider Identifier
1669493573
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
F8616 Issued in TX
Practice address
1202 W Frank Ave
Lufkin, TX 75904-3304
Phone
(936) 637-6415
Fax
(936) 632-9025
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X F8616 TX Primary

Addresses

Primary practice location

1202 W Frank Ave
Lufkin, TX 75904-3304

Mailing address

1202 W Frank Ave
Lufkin, TX 75904-3304
Phone (936) 637-6415

Other identifiers 1

IdentifierTypeStateIssuer
038230301MedicaidTX

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
I20100804000846 TX Practitioner - Hematology/Oncology 8426137944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Texas Hematology and OncologyGroup PAC ID 9638211147, 5 clinicians

Practice addresses (Care Compare)

1202 W Frank Ave
Lufkin, TX 75904-3304
Phone (936) 637-6415

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.3
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Hematology & Oncology Hematology & Oncology CurrentSince Feb 1, 1981 Accepting new patients
Memorial Health System of East Texas PastSince Apr 30, 2003 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1202 W Frank Ave
Lufkin, TX 75904
Phone (639) 637-6415

Interoperability endpoints

  • Direct secure messaging: kavitha.pinnamaneni@ethoc.direct-geniusdoc.com

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1669493573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043304",
            "telephone_number": "936-637-6415",
            "fax_number": "936-632-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043304",
            "telephone_number": "936-637-6415",
            "fax_number": "936-632-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNAMANENI",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "F8616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038230301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.