Individual provider Active NPI

Praveen Guntipalli, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1881820025
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3336 Issued in TX
Practice address
5633 W Lovers LN
Dallas, TX 75209-4309
Phone
(214) 245-9999
NPI assigned
Jun 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X P3336 TX
Hospitalist Physician 208M00000X P3336 TX
Internal Medicine Physician 207R00000X P3336 TX Primary

Addresses

Primary practice location

5633 W Lovers LN
Dallas, TX 75209-4309

Mailing address

5633 W Lovers LN
Dallas, TX 75209-4309
Phone (214) 245-9999

Other practice location 1

11801 South Fwy
Burleson, TX 76028-7021
Phone (817) 568-5955

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806000644 TX Practitioner - Internal Medicine 5991951907 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

11801 S Fwy
I 35W
Burleson, TX 76028-7021
Phone (817) 293-9110

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3336TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Jul 30, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince May 17, 2019 Accepting new patients
Apogee Medical Group Texas PA Internal Medicine CurrentSince Nov 11, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2019 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Dec 18, 2019 Accepting new patients
Texas Health Huguley, Inc. Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • Direct secure messaging: pguntipalli245448@christushealth.direct-ci.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: pguntipali8986@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 9

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 5

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1881820025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094309",
            "telephone_number": "214-245-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752094309",
            "telephone_number": "214-245-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287021",
            "country_code": "US",
            "telephone_number": "817-568-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTIPALLI",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "TX",
            "license": "P3336",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P3336",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.