Kavella Prosthetics and Orthotics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KAVELLA PROSTHETICS AND ORTHOTICS LLC

Practice address

99 Cheek Sparger Rd Ste 104a
Colleyville, TX 76034-2204

Phone

(682) 390-4499

Fax

(817) 549-9460

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Batool Summer Siddiqui, LCPONPI 1922667948

Title

Owner/Clinician

Phone

(682) 390-4499

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Batool Summer Siddiqui, CPO

  • Prosthetist
  • Colleyville, TX
  • NPI 1922667948

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1801503735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CHEEK SPARGER RD STE 104A",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342204",
            "telephone_number": "682-390-4499",
            "fax_number": "817-549-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CHEEK SPARGER RD STE 104A",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342204",
            "telephone_number": "682-390-4499",
            "fax_number": "817-549-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVELLA PROSTHETICS AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "BATOOL",
        "authorized_official_middle_name": "SUMMER",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "682-390-4499",
        "authorized_official_credential": "LCPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kavellapo@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "99 Cheek Sparger Rd Ste 104A",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760342204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.kavellapo.com/",
            "affiliation": "N",
            "endpointDescription": "kavellapo.com",
            "address_1": "99 Cheek Sparger Rd Ste 104A",
            "city": "Colleyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760342204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ayesha Kanwal, D.O.
• Shilpa Karri
• Kathleen Pace D.D.S., P.C.
• Kathryn a. Pifer, D.O., P.a.
• Prabhdeep Kaur, DMD
• Keith Metzger, DDS, PC
• Ruth C. Kennedy
• Lisa Ann Kerich, PA
• Riad Kesiry, MD
• Arras Darius Khaledi

• Prosthetic/Orthotic Supplier in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.