Individual provider Active NPI

Jyotsna Kuppannagari, M.D.

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1821346263
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q2680 Issued in TX
Practice address
201 Wyngate Blvd
Suite 830
Plano, TX 75074
Phone
(469) 573-0020
Fax
(469) 457-6569
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q2680 TX Primary

Addresses

Primary practice location

201 Wyngate Blvd
Suite 830
Plano, TX 75074

Mailing address

612 Mockingbird Dr
Murphy, TX 75094-3842
Phone (469) 573-0020

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
I20150824000727 TX Practitioner - Pediatric Medicine 1658686423 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Om Joy Childrens PLLC Pediatrics CurrentSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1821346263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 MOCKINGBIRD DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943842",
            "telephone_number": "469-573-0020",
            "fax_number": "469-457-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WYNGATE BLVD",
            "address_2": "SUITE 830",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "469-573-0020",
            "fax_number": "469-457-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPANNAGARI",
        "first_name": "JYOTSNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.