Individual provider Active NPI

Mamatha Kondapalli, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1689052409
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T4541 Issued in TX
Practice address
5495 Belt Line Rd Ste 200
Dallas, TX 75254-7658
Phone
(469) 774-1532
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T4541 TX Primary

Addresses

Primary practice location

5495 Belt Line Rd Ste 200
Dallas, TX 75254-7658

Mailing address

2201 Hempstead Turnpike, Department of Medicine
Nassau University Medical Center
East Meadow, NY 11554-1849
Phone (516) 572-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180925002480 AL Practitioner - Internal Medicine 4789935016 Reassigns benefits to 1 organization
I20230410002046 TX Practitioner - Internal Medicine 4789935016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

2301 Marsh LN
Plano, TX 75093-8497
Phone (954) 939-5000

3901 W 15TH St
Plano, TX 75075-7738
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Mar 6, 2025 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 28, 2022 Accepting new patients
Texas Health Arlington Memorial Hospital Past Accepting new patients
Columbia Medical Center of Plano Subsidiary LP Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 502
Dothan, AL 36301
Phone (334) 712-3738

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 9

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 2

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1689052409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE, DEPARTMENT OF MEDICINE",
            "address_2": "NASSAU UNIVERSITY MEDICAL CENTER",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541849",
            "telephone_number": "516-572-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 BELT LINE RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547658",
            "telephone_number": "469-774-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDAPALLI",
        "first_name": "MAMATHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T4541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.