Individual provider Active NPI

Sylaza Kantamneni, M.D.

  • Internal Medicine Physician
  • Allen, TX
National Provider Identifier
1720237498
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P9209 Issued in TX
Practice address
1105 Central Expy N Ste 235
Allen, TX 75013-6135
Phone
(972) 747-6042
Fax
(972) 747-6043
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 046854 CT
Internal Medicine Physician 207R00000X P9209 TX Primary

Addresses

Primary practice location

1105 Central Expy N Ste 235
Allen, TX 75013-6135

Mailing address

1105 Central Expy N Ste 235
Allen, TX 75013-6135
Phone (972) 747-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20141113000395 TX Practitioner - Internal Medicine 3274693874 Reassigns benefits to 7 organizations
I20221216000939 OK Practitioner - Internal Medicine 3274693874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Memorial Hospital DistrictGroup PAC ID 6406768936, 36 clinicians
Sonoran Health PLLCGroup PAC ID 1951841766, 7 clinicians

Practice addresses (Care Compare)

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

9545 N Beach St
Suite 155
Fort Worth, TX 76244-6472
Phone (214) 945-3640

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Dallas Medical Center Hospital, Dallas, TX, CCN 450379
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046854CTMDInternal Medicine Physician
P9209TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Nov 6, 2022 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Hunt Memorial Hospital District Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 10, 2020 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Feb 10, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2020 Accepting new patients
Sonoran Health PLLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Peak Medical PLLC Internal Medicine CurrentSince Feb 7, 2026 Accepting new patients
The Charlotte Hungerford Hospital Past Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1105 Central Expy N
Ste 235
Allen, TX 75013
Phone (972) 747-6042

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

12700 Hillcrest Rd
Ste 145
Dallas, TX 75230
Phone (817) 440-3361

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

9545 N Beach St
Ste 155
Fort Worth, TX 76244
Phone (214) 945-3640

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

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

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 15

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 15

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1720237498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 235",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136135",
            "telephone_number": "972-747-6042",
            "fax_number": "972-747-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 235",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136135",
            "telephone_number": "972-747-6042",
            "fax_number": "972-747-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAMNENI",
        "first_name": "SYLAZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "046854",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P9209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.