Individual provider Active NPI

Mangala S Kurada, M.D.

  • Anatomic Pathology Physician
  • Bedford, TX
National Provider Identifier
1750440103
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
M4843 Issued in TX
Practice address
1800 Plaza Dr
Bedford, TX 76021-6013
Phone
(817) 310-4490
Fax
(817) 310-4491
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X M4843 TX Primary

Addresses

Primary practice location

1800 Plaza Dr
Bedford, TX 76021-6013

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

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
I20080602000899 TX Practitioner - Pathology 0749350791 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4843TXMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Pathology Associates CurrentSince Mar 4, 2025 Accepting new patients
Colorectal Associates of Texas PA Past Accepting new patients
Austin Pathology Associates Past Accepting new patients

Locations

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16703/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1750440103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PLAZA DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216013",
            "telephone_number": "817-310-4490",
            "fax_number": "817-310-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURADA",
        "first_name": "MANGALA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "M4843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.