Active NPI
Ranjith Kasanagottu, MD
- Pediatrics Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U6267
- Practice address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - Phone
- (214) 456-5930
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD84563 | SC | |
| Pediatrics Physician | 208000000X | U6267 | TX | Primary |
Addresses
Primary practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Phone (214) 456-5558
Other practice location 1
200 Patewood Dr # A
Greenville, SC 29615-3593
Phone (864) 454-5115
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD84563 | SC | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complex Care Medical Services Corporation | Pediatrics | Current | Accepting new patients |
| Partners in Pediatrics LLC | Past | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Pediatrics | Past | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients | |
| Partners in Pediatrics, LLC | Past | Accepting new patients |
Locations
2350 N Stemmons Fwy
#F2450
Dallas, TX 75207
Phone (469) 488-7200
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
1935 Medical District Dr
Unit A
Dallas, TX 75235
1935 Medical District Dr
#9
Dallas, TX 75235
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Interoperability endpoints
- rkasanagottu598581@direct.childrens.com
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
-
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
-
- Primary Care Clinic/Center
- Prattville, AL
- NPI 1063679496
-
- Primary Care Clinic/Center
- Montgomery, AL
- NPI 1528233103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1851771976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD STOP 7200",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907200",
"telephone_number": "214-456-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-5930"
}
],
"practiceLocations": [
{
"address_1": "200 Patewood Dr # A",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296153593",
"country_code": "US",
"telephone_number": "864-454-5115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASANAGOTTU",
"first_name": "RANJITH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "SC",
"license": "MD84563",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U6267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.