Individual provider Active NPI

Rama Krishna Reddy Mukkara Siva, M.D

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1689993297
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S2647 Issued in TX
Practice address
805 Morgan Ave
Corpus Christi, TX 78404-2025
Phone
(361) 251-7650
NPI assigned
May 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X S2647 TX
Family Medicine Physician 207Q00000X S2647 TX Primary

Addresses

Primary practice location

805 Morgan Ave
Corpus Christi, TX 78404-2025

Mailing address

6949 New York Ave
Corpus Christi, TX 78414-3911
Phone (361) 251-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 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
I20200421000251 TX Practitioner - Family Practice 5395987705 Reassigns benefits to 7 organizations
I20241204004698 LA Practitioner - Family Practice 5395987705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians

Practice addresses (Care Compare)

1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone (512) 353-8979

1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500

1500 E Houston St
Christus Spohn Hospital Beeville
Beeville, TX 78102-5312
Phone (361) 354-2000

1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 984-2492

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2647TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Louisiana Physicians, LLC Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
South Texas Physician Services, PLLC Hospitalist CurrentSince Jul 28, 2024 Accepting new patients
Central Louisiana Physicians, LLC Hospitalist CurrentSince Dec 27, 2024 Accepting new patients
Bexar Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Gulf Coast Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 1, 2020 Accepting new patients
Concord Medical Group PLLC CurrentSince May 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Jefferson Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Northeast Louisiana Physicians, LLC Hospitalist CurrentSince Jan 3, 2025 Accepting new patients
North Texas Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Wellmed Medical Group, PA Family Medicine PastSince Mar 2, 2020 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

200 Corporate Blvd
Lafayette, LA 70508

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1612 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 983-2492

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

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

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1689993297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 NEW YORK AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143911",
            "telephone_number": "361-251-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042025",
            "telephone_number": "361-251-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKKARA SIVA",
        "first_name": "RAMA KRISHNA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S2647",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S2647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.