Rajyalakshmi Mikkilineni, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G0483 Issued in TX

Practice address

2020 E Mulberry Road
Angleton, TX 77515

Phone

(979) 849-2777

Fax

(979) 849-8090

NPI assigned

Aug 25, 2006

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen F Austin Community Health Center, Inc.Group PAC ID 6204977127, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iph Home Health Care Home health agency, Lake Jackson, TX, CCN 458399
• University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
• CHI St Luke's Health Brazosport Hospital, Lake Jackson, TX, CCN 450072

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen F. Austin Community Health Center, Inc.

  dba Adoue Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818
  Medicare reassignment Care Compare group NPD
• CHN Medical Support Systems

  • Clinic/Center
  • Houston, TX
  • NPI 1184215352
  Medicare reassignment NPD
• Stephen F Austin Community Health Center,Inc

  dba Bacliff Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD
• Stephen F Austin Community Health Center, Inc

  dba Angleton Internal Medicine and Primary Care

  • Federally Qualified Health Center (FQHC)
  • Angleton, TX
  • NPI 1154967776
  NPD (past)

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

• Iph Health Care Services, Inc.

  dba Iph Home Health

  • Home Health Agency
  • Lake Jackson, TX
  • NPI 1679553069
  Care Compare affiliation
• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940
  Care Compare affiliation
• University of Texas Medical Branch at Galveston

  dba University of Texas Medical Branch

  • General Acute Care Hospital
  • Galveston, TX
  • NPI 1548226988
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1881702470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E MULBERRY ROAD",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "979-849-2777",
            "fax_number": "979-849-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E MULBERRY ROAD",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "979-849-2777",
            "fax_number": "979-849-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKILINENI",
        "first_name": "RAJYALAKSHMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G0483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120570003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Rose Mehalshick, LCSW
• Cynthia Meier
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• Donna Mendez, MD
• Yonas Asmamaw Mengistu, PHARMD
• Richard Milian, LCDC
• Haley Miller, EIS
• Aranyce Whitaker Mitchell, PHARMD
• Brent Lee Mixon, O.D.
• Tithi Mohanty, PT

• Internal Medicine Physician in Angleton, TX
• Providers in Angleton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.