Jagadish Puppala, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

K8819 Issued in TX

Practice address

1643 Lancaster Dr
Suite 203
Grapevine, TX 76051-3593

Phone

(817) 329-7670

Fax

(817) 416-0145

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palo Pinto County Hospital DistrictGroup PAC ID 5890602759, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
• Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

Merit-based Incentive Payment System (MIPS)

Final score

73.27 of 100Reported as individual

Quality

60.53

Promoting interoperability

100

Improvement activities

40

Cost

50.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Palo Pinto County Hospital District

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076
  Medicare reassignment Care Compare group NPD
• Graham Hospital District

  • Surgery Physician
  • Graham, TX
  • NPI 1972950467
  Medicare reassignment NPD
• Graham Hospital District

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  NPD
• Palo Pinto County Hospital District

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582
  NPD
• Palo Pinto County Hospital District

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1376278366
  NPD
• Palo Pinto County Hospital District

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1922056993
  NPD
• Cardiovascular Specialty Associates of North Texas, P.a.

  • Vascular Surgery Physician
  • Rockwall, TX
  • NPI 1780851915
  NPD (past)
• Cardiovascular Specialty Associates of North Texas, PA

  • Cardiovascular Disease Physician
  • Irving, TX
  • NPI 1679516736
  NPD (past)
• Cardiovascularspecialty Associates of North Texas, PA

  • Cardiovascular Disease Physician
  • Irving, TX
  • NPI 1194736314
  NPD (past)
• Palo Pinto County Hospital District

  • Rural Health Clinic/Center
  • Mineral Wells, TX
  • NPI 1184609265
  NPD (past)

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

• Graham Hospital District

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  Care Compare affiliation
• Palo Pinto County Hospital District

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602
  Care Compare affiliation

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1841292489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 GREENWAY DRIVE",
            "address_2": "SUITE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382416",
            "telephone_number": "972-550-9195",
            "fax_number": "972-550-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR",
            "address_2": "SUITE 203",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-7670",
            "fax_number": "817-416-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPPALA",
        "first_name": "JAGADISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K8819",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "K8819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00FM06",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00J30H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Profit Optix
• Jamie A Pruitt, NP
• Lauren Elizabeth Pruner, DPM
• Psych Investments LLC
• Carla Battaglia Pulliam, PHD
• Thomas J Purgett, M.D.
• Tania Purkayastha, MD
• Carmen Laine Pustejovsky, AU.D.
• Ann Trammell Qualls, LPC-A
• Arshad Quddoos, M.D

• Cardiovascular Disease Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.

Verify at the official NPI Registry.