NPIMap

Organization Active NPI

Naga Mummaneni MD PLLC

  • Pain Medicine (Anesthesiology) Physician
  • McKinney, TX
National Provider Identifier
1710429683
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G4175 Issued in TX
Legal business name
NAGA MUMMANENI MD PLLC
Practice address
4510 Medical Center Dr Ste 150
McKinney, TX 75069-0144
Phone
(972) 668-7460
NPI assigned
Nov 9, 2016
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Nagaprasadarao Mummaneni, MDNPI 1861434128
Title
Physician
Phone
(248) 425-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X A37672 CA
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 4301035894 MI
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X G4175 TX Primary

Addresses

Primary practice location

4510 Medical Center Dr Ste 150
McKinney, TX 75069-0144

Mailing address

PO Box 250794
Plano, TX 75025-0794
Phone (972) 668-7460

Other practice location 1

3617 Glenhome Dr
Plano, TX 75025-0118
Phone (248) 425-8880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1710429683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250794",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250794",
            "telephone_number": "972-668-7460",
            "fax_number": "972-474-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MEDICAL CENTER DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750690144",
            "telephone_number": "972-668-7460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 Glenhome Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750250118",
            "country_code": "US",
            "telephone_number": "248-425-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAGA MUMMANENI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "MUMMANENI",
        "authorized_official_first_name": "NAGAPRASADARAO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-425-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A37672",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301035894",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.