Individual provider Active NPI

Prakash Pandurang Kagal, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1841375946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
KO851 Issued in TX
Practice address
7777 Forest LN
Medical City Hospital
Dallas, TX 75230-2505
Phone
(972) 566-7000
Fax
(972) 509-9075
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X KO851 TX Primary

Addresses

Primary practice location

7777 Forest LN
Medical City Hospital
Dallas, TX 75230-2505

Mailing address

PO Box 941165
1200,Jupiter Road
Plano, TX 75094-1165
Phone (214) 415-6035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KO851TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Internal Medicine PLLC Internal Medicine Past 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841375946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941165",
            "address_2": "1200,JUPITER ROAD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750941165",
            "telephone_number": "214-415-6035",
            "fax_number": "972-509-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "MEDICAL CITY HOSPITAL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-7000",
            "fax_number": "972-509-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAL",
        "first_name": "PRAKASH",
        "middle_name": "PANDURANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "KO851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.