NPIMap

Individual provider Active NPI

Yashwanth Jasti, M.D

  • Infectious Disease Physician
  • Desoto, TX
National Provider Identifier
1871890616
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
Q2143 Issued in TX
Practice address
2727 Bolton Boone Dr Ste 109
Desoto, TX 75115-2019
Phone
(972) 283-2370
Fax
(972) 296-0311
NPI assigned
Feb 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.098400 OH
Internal Medicine Physician 207R00000X Q2143 TX
Infectious Disease Physician 207RI0200X 01076185A IN
Infectious Disease Physician 207RI0200X 207404 LA
Infectious Disease Physician 207RI0200X Q2143 TX Primary

Addresses

Primary practice location

2727 Bolton Boone Dr Ste 109
Desoto, TX 75115-2019

Mailing address

2727 Bolton Boone Dr Ste 109
Desoto, TX 75115-2019
Phone (972) 283-2370

Other practice location 1

151 Rvg Pkwy Ste 101
Waxahachie, TX 75165-5241
Phone (972) 283-2370

Other identifiers 2

IdentifierTypeStateIssuer
0060431MedicaidOH
H070410OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220001936 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 1153580915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Mahesh Kottapalli MD PAGroup PAC ID 7214097989, 3 clinicians

Practice addresses (Care Compare)

2727 Bolton Boone Dr
Suite 109
Desoto, TX 75115-2019
Phone (972) 283-2370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.22 of 100Reported as individual
Quality
80.9
Improvement activities
0
Cost
75.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.098400OHMDInternal Medicine Physician
207404LAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahesh Kottapalli, M.D., P.a. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Mahesh Kottapalli, M.D., P.a. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Emergency Medical Specialist, S.C Past Accepting new patients

Locations

2727 Bolton Boone Dr
Ste 109
Desoto, TX 75115
Phone (855) 955-2256

151 Rvg Pkwy
#101
Waxahachie, TX 75165
Phone (972) 283-2370

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1871890616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370",
            "fax_number": "972-296-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370",
            "fax_number": "972-296-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Rvg Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751655241",
            "country_code": "US",
            "telephone_number": "972-283-2370",
            "fax_number": "972-296-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASTI",
        "first_name": "YASHWANTH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.098400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q2143",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01076185A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "207404",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "Q2143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060431",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H070410",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.