Individual provider Active NPI

Prabhash Kakarla

  • Internal Medicine Physician
  • Mansfield, TX
National Provider Identifier
1689140634
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U1046 Issued in TX
Practice address
2302 Lone Star Rd Ste 200
Mansfield, TX 76063-8751
Phone
(682) 341-7200
Fax
(682) 341-7201
NPI assigned
Oct 17, 2018
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 314513 NY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X U1046 TX Primary

Addresses

Primary practice location

2302 Lone Star Rd Ste 200
Mansfield, TX 76063-8751

Mailing address

2302 Lone Star Rd Ste 200
Mansfield, TX 76063-8751
Phone (682) 341-7200

Other practice location 1

1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 960-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221219002471 TX Practitioner - Internal Medicine 1850760570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians

Practice addresses (Care Compare)

501 E Broad St
Mansfield, TX 76063-1709
Phone (682) 341-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
74.14
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314513NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Medical Associates CurrentSince Jan 30, 2023 Accepting new patients

Locations

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

501 E Broad St
Mansfield, TX 76063
Phone (682) 341-7200

2302 Lone Star Rd
Ste 200
Mansfield, TX 76063
Phone (682) 268-6707

Interoperability endpoints

  • Direct secure messaging: pkakarla1433314@adventhealth.direct-ci.com

Organizations & group practices 1

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 1

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1689140634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 LONE STAR RD STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638751",
            "telephone_number": "682-341-7200",
            "fax_number": "682-341-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 LONE STAR RD STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638751",
            "telephone_number": "682-341-7200",
            "fax_number": "682-341-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577606",
            "country_code": "US",
            "telephone_number": "718-960-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKARLA",
        "first_name": "PRABHASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "314513",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.