Individual provider Active NPI

Srinath Kotamarti

  • Urology Physician
  • Desoto, TX
National Provider Identifier
1801281316
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
U2540 Issued in TX
Practice address
2705 Prince George Ave
Desoto, TX 75115-2045
Phone
(972) 780-0480
Fax
(972) 780-1453
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X U2540 TX Primary
Urology Physician 208800000X 2021-01215 NC

Addresses

Primary practice location

2705 Prince George Ave
Desoto, TX 75115-2045

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

2220 Bryan Pl Ste 104
Midlothian, TX 76065-7127
Phone (972) 780-0480

Other practice location 2

252 Matlock Rd Ste 140
Mansfield, TX 76063-4296
Phone (817) 276-3300

Other practice location 3

1411 N Beckley Ave Ste 464
Dallas, TX 75203-1268
Phone (214) 948-3101

Other practice location 4

1501 W Royal Ln
Irving, TX 75063-3213
Phone (469) 513-5500

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
I20230726001647 TX Practitioner - Urology 0941545701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

2705 Prince George Ave
Desoto, TX 75115-2045
Phone (972) 780-0480

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U2540TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Urology Current Accepting new patients
Texas Oncology PA CurrentSince Sep 1, 2023 Accepting new patients
Texas Oncology PA CurrentSince Sep 1, 2023 Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

1411 N Beckley Ave
Ste 464
Dallas, TX 75203
Phone (214) 948-3101

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

2705 Prince George Ave
Desoto, TX 75115
Phone (972) 780-0480

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

1501 W Royal Ln
Irving, TX 75063
Phone (469) 513-5500

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

252 Matlock Rd
Ste 140
Mansfield, TX 76063
Phone (817) 435-5800

2220 Bryan Pl
Ste 104
Midlothian, TX 76065
Phone (817) 375-0610

Interoperability endpoints

  • Direct secure messaging: srinathkotamarti@tusdfw.medalliesdirect.net

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1801281316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 PRINCE GEORGE AVE",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152045",
            "telephone_number": "972-780-0480",
            "fax_number": "972-780-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Bryan Pl Ste 104",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760657127",
            "country_code": "US",
            "telephone_number": "972-780-0480",
            "fax_number": "972-780-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 Matlock Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634296",
            "country_code": "US",
            "telephone_number": "817-276-3300",
            "fax_number": "817-276-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Beckley Ave Ste 464",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031268",
            "country_code": "US",
            "telephone_number": "214-948-3101",
            "fax_number": "214-941-7633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Royal Ln",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633213",
            "country_code": "US",
            "telephone_number": "469-513-5500",
            "fax_number": "469-420-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAMARTI",
        "first_name": "SRINATH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "U2540",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2021-01215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.