Active NPI
Srinath Kotamarti
- Urology Physician
- Desoto, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- U2540
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2705 Prince George Ave
Desoto, TX 75115-2045
Phone (972) 780-0480
Hospital & facility affiliations
- Methodist Charlton Medical Center
- Methodist Dallas Medical Center
- Methodist Mansfield Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U2540 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Urology | Current | Accepting new patients |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | 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
- 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.
-
- Medical Oncology Physician
- Webster, TX
- NPI 1821265265
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.