Active NPI
Kartik Pillutla, MD
- Pediatric Nephrology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- P3413
- Practice address
- 1301 Barbara Jordan Blvd
Suite #200
Austin, TX 78723-3077 - Phone
- (512) 628-1860
- Fax
- (512) 628-1861
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | P3413 | TX | Primary |
Addresses
Primary practice location
1301 Barbara Jordan Blvd
Suite #200
Austin, TX 78723-3077
Mailing address
1301 Barbara Jordan Blvd
Suite #200
Austin, TX 78723-3077
Phone (512) 628-1860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299825401 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Northwestern University Feinberg Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6651 Main St
Houston, TX 77030-2351
Phone (832) 826-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Pediatric Nephrology | Current | Accepting new patients |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients |
Locations
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- kpillutla466998@prddirect.texaschildrens.org
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Austin, TX
- NPI 1194507947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365379200000",
"number": "1770775728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE #200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-628-1860",
"fax_number": "512-628-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE #200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-628-1860",
"fax_number": "512-628-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLUTLA",
"first_name": "KARTIK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2013-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "TX",
"license": "P3413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299825401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.