Active NPI
Sumankrishna Kotla MD
- Nephrology Physician
- Dallas, TX
National Provider Identifier
1740723527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SUMANKRISHNA KOTLA MD
- Practice address
- 411 N Washington Ave Ste 6000
Dallas, TX 75246-1789 - Phone
- (214) 358-2300
- Fax
- (214) 579-6988
- NPI assigned
- Nov 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sumankrishna Kotla, M.D.
- Title
- Owner
- Phone
- (814) 248-8894
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
411 N Washington Ave Ste 6000
Dallas, TX 75246-1789
Mailing address
1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300
Other practice location 1
3604 Live Oak St Ste 100
Dallas, TX 75204-6169
Phone (214) 358-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1400 | Other | TX | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702598400000",
"number": "1740723527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LBJ FWY STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752346065",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE STE 6000",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461789",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6988"
}
],
"practiceLocations": [
{
"address_1": "3604 Live Oak St Ste 100",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752046169",
"country_code": "US",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUMANKRISHNA KOTLA MD",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-28",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "KOTLA",
"authorized_official_first_name": "SUMANKRISHNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-248-8894",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "R1400",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.