Active NPI
Srikanth Mukkera, M.D.
- Rheumatology Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- S8215
- Practice address
- 701 W 5TH St
Odessa, TX 79763-4206 - Phone
- (432) 335-2222
- Fax
- (432) 335-1815
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN15469 | FL | |
| Rheumatology Physician | 207RR0500X | S8215 | TX | Primary |
| Internal Medicine Physician | 207R00000X | S8215 | TX |
Addresses
Primary practice location
701 W 5TH St
Odessa, TX 79763-4206
Mailing address
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-2222
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
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8050 E Hwy 191
Suite 203
Odessa, TX 79765-8615
Phone (432) 326-1939
Hospital & facility affiliations
- Medical Center Hospital
- Midland Memorial Hospital
- Pecos County Memorial Hospital
- Permian Regional Medical Center Andrews County Ho
- Reeves Regional Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN15469 | FL | MD | Internal Medicine Physician |
| S8215 | TX | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permian Arthritis and Rheumatology Center | Rheumatology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Odessa | Internal Medicine | Current | Accepting new patients |
Locations
701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222
701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222
8050 E Highway 191
Ste 203
Odessa, TX 79765
Phone (432) 326-1939
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHGEDD/Endpoint/FHGEDD
- https://fhir4.healow.com/fhir/r4/FHGEDD
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Odessa, TX
- NPI 1225883564
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Andrews, TX
- NPI 1174563779
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
- Critical Access Hospital
- Fort Stockton, TX
- NPI 1073200309
-
- Critical Access Hospital
- Pecos, TX
- NPI 1831170273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1891006482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-335-2222",
"fax_number": "432-335-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-335-2222",
"fax_number": "432-335-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKKERA",
"first_name": "SRIKANTH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN15469",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "S8215",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S8215",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
- 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.