Active NPI
Mahesh Kottapalli, M.D., P.a.
- Infectious Disease Physician
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- MAHESH KOTTAPALLI, M.D., P.A.
- Practice address
- 151 RVG Pkwy Ste 101
Waxahachie, TX 75165-5241 - Phone
- (972) 283-2370
- Fax
- (972) 296-0311
- NPI assigned
- Aug 11, 2010
- Last updated
- Mar 12, 2020
- 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
- Mahesh B Kottapalli, M.D.
- Title
- President
- Phone
- (972) 283-2370
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Infectious Disease Physician | 207RI0200X | NU | Primary |
Addresses
Primary practice location
151 RVG Pkwy Ste 101
Waxahachie, TX 75165-5241
Mailing address
2727 Bolton Boone Dr
Desoto, TX 75115-2019
Phone (972) 283-2370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081125000683 | TX | Part B Supplier - Clinic/Group Practice | 7214097989 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Desoto, TX; Waxahachie, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Infectious Disease Physician
- Desoto, TX
- NPI 1093020620
O20081125000683
-
dba Infectious Diseases of Dallas
- Infectious Disease Physician
- Mesquite, TX
- NPI 1023265436
O20081125000683
National Provider Directory
National Provider Directory- Tax ID family
- Mahesh B Kottapalli MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infectious Disease Physician
- Desoto, TX
- NPI 1093020620
Locations
2727 Bolton Boone Dr
Ste 109
Desoto, TX 75115
Phone (855) 955-2256
151 Rvg Pkwy
#101
Waxahachie, TX 75165
Phone (972) 283-2370
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Desoto, TX
- NPI 1245252733
-
- Acute Care Nurse Practitioner
- Desoto, TX
- NPI 1508288184
-
- Nurse Practitioner
- Coppell, TX
- NPI 1003374174
-
- Family Nurse Practitioner
- Waxahachie, TX
- NPI 1467003855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583971200000",
"number": "1801101118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 BOLTON BOONE DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152019",
"telephone_number": "972-283-2370",
"fax_number": "972-296-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 RVG PKWY STE 101",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751655241",
"telephone_number": "972-283-2370",
"fax_number": "972-296-0311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHESH KOTTAPALLI, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-11",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A",
"authorized_official_last_name": "KOTTAPALLI",
"authorized_official_first_name": "MAHESH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-283-2370",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.