Pallavi Kakulavar MD PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

M1810 Issued in TX

Legal business name

PALLAVI KAKULAVAR MD PA

Practice address

721 W Mulberry St
Angleton, TX 77515-9145

Phone

(281) 536-7698

Fax

(815) 642-8581

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Pallavi Kakulavar, M.DNPI 1649230087

Title

Physician

Phone

(281) 536-7698

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pallavi Kakulavar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Angleton, TX
  • NPI 1649230087
  Medicare reassignment Care Compare group NPD Authorized official
• Kia Crawford

  • Family Nurse Practitioner
  • Pearland, TX
  • NPI 1558908772
  Medicare reassignment Care Compare group NPD
• Anna Liggins, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1770338220
  Medicare reassignment Care Compare group NPD
• Laura N Pedersen Foreman, GNP

  • Gerontology Nurse Practitioner
  • Texas City, TX
  • NPI 1265744361
  Medicare reassignment NPD
• Frances R McCaulley, NP

  • Family Nurse Practitioner
  • Missouri City, TX
  • NPI 1285672865
  Medicare reassignment

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1750516985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841149",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849145",
            "telephone_number": "281-536-7698",
            "fax_number": "815-642-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775159145",
            "telephone_number": "281-536-7698",
            "fax_number": "815-642-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLAVI KAKULAVAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "KAKULAVAR",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-536-7698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M1810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216617501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0088SU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GPA RAILROAD MEDICARE",
            "identifier": "DQ1990",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uzoma Melissa Obi-Nwankwo, MD
• Obstetrical and Gynecological Associates
• Diana Alicia Ortiz, SLP CCC
• Earl Osborne, LAT
• Debra Pagel, LCDC
• Mackenzee Palmer
• Christian Spencer Pangan, DC
• Paul H. Wells & Associates, Mdpa
• Thomas Anthony Paver III, OTR/L
• Teresa Peck, O.D.

• Geriatric Medicine (Internal Medicine) Physician in Angleton, TX
• Providers in Angleton, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.