Srinivas Mahesh Katta, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

30949 Issued in OK

Practice address

3501 W Broadway St
Muskogee, OK 74401-2138

Phone

(918) 913-9408

Fax

(888) 383-0122

NPI assigned

Jun 30, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, NE, MO, TX, IA, WA, TN, IL8 enrollments

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 8

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Comanche County Healthcare CorporationGroup PAC ID 0749192433, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ara - Lawton Dialysis Dialysis facility, Lawton, OK, CCN 372523
• Ara - Lawton Dialysis East Dialysis facility, Lawton, OK, CCN 372557
• Fmcna - Muskogee Dialysis facility, Muskogee, OK, CCN 372566
• Memorial Health Hospital, Lawton, OK, CCN 370056
• Wagoner Community Hospital Hospital, Wagoner, OK, CCN 370166
• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
• Comanche County Hospital Authority Inpatient rehabilitation facility, Lawton, OK, CCN 37T056

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 62)

Interoperability endpoints

• Direct secure messaging: srinivas.katta.1@14254.direct.athenahealth.com
• Direct secure messaging: skatta417975@direct.integrisok.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580

  Corporate Officer, Other

  CMS ownership
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988

  Corporate Officer, Other

  CMS ownership

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.

• Comanche County Healthcare Corporation

  • Public Health or Welfare Agency
  • Lawton, OK
  • NPI 1053352690
  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Neo Kidney Care PLLC

  • Nephrology Physician
  • Lawton, OK
  • NPI 1538515945
  Medicare reassignment NPD
• Southern Plains Medical Center of Garvin County LLC

  • Emergency Medicine Physician
  • Pauls Valley, OK
  • NPI 1083280622
  Medicare reassignment NPD
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Medicare reassignment NPD
• Bryan Hospital Kearney

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380

  Internal Medicine

  Medicare reassignment NPD
• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497
  Medicare reassignment NPD
• Cogent Healthcare of Tennessee, PC

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1952654246
  Medicare reassignment NPD
• Cox Barton County Hospital

  • Emergency Medicine Physician
  • Lamar, MO
  • NPI 1174166177

  Internal Medicine

  Medicare reassignment NPD
• Grand Island Regional Medical Center

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1225658495
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  OK

  Medicare reassignment NPD
• Methodist Fremont Health

  • Internal Medicine Physician
  • Fremont, NE
  • NPI 1235618216
  Medicare reassignment NPD

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

• Fresenius Medical Care Tulsa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Muskogee, OK
  • NPI 1437598786

  Dialysis facility

  Care Compare affiliation Name & address match
• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  • Rehabilitation Hospital Unit
  • Lawton, OK
  • NPI 1154364719

  Inpatient rehabilitation facility

  Care Compare affiliation
• Comanche County Hospital Authority

  • Land Ambulance
  • Walters, OK
  • NPI 1285181610

  Hospital

  Care Compare affiliation
• Comanche County Hospital Authority

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1720022379
  Care Compare affiliation
• Comanche County Hospital Authority

  • Land Ambulance
  • Lawton, OK
  • NPI 1770525883

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation
• Saint Francis Hospital Muskogee Inc

  • General Acute Care Hospital
  • Muskogee, OK
  • NPI 1386188837
  Care Compare affiliation
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Care Compare affiliation
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1841428752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BACON CT",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744031662",
            "telephone_number": "732-986-1758",
            "fax_number": "888-383-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W BROADWAY ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012138",
            "telephone_number": "918-913-9408",
            "fax_number": "888-383-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 W Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674629",
            "country_code": "US",
            "telephone_number": "918-485-1205",
            "fax_number": "918-485-1695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATTA",
        "first_name": "SRINIVAS MAHESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "30949",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61441562",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2012011844",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2020041626",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "27938",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "30949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200566560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Kalka-Gower, BSW
• Elliott M Kampf, DC
• Deepak Karibassappa, MD
• Karissa Misner PLLC
• Karla Rice OD
• Destanie Kaufman
• India Kazadi, DNP, APRN, PMHNP-BC
• Patricia A. Kearney, RN
• Alan Keck, PHARM.D.
• Rachel Lynn Keck, PHARMD

• Nephrology Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.