Active NPI
Anil Kumar Koganti, MD
- Orthopaedic Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M1842
- Practice address
- 3409 Worth St
Suite 320
Dallas, TX 75246-2029 - Phone
- (214) 820-8350
- Fax
- (214) 820-8355
- NPI assigned
- Mar 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M1842 | TX | Primary |
Addresses
Primary practice location
3409 Worth St
Suite 320
Dallas, TX 75246-2029
Mailing address
3409 Worth St
Suite 320
Dallas, TX 75246-2029
Phone (214) 820-8350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M2956 | Other | TX | BCBS |
| 176308803 | Medicaid | TX | |
| 176308801 | Medicaid | TX |
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
- Orthopedic Surgery
- Education
- Emory University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
3900 Junius St
Suite 500
Dallas, TX 75246-1621
Phone (214) 823-7090
4001 Worth St
Dallas, TX 75246-1608
7217 Telecom Pkwy
Garland, TX 75044-2203
9101 N Central Expressway
420 Baylor Pediatric Center
Dallas, TX 75231-5945
Phone (214) 823-2525
9101 N Central Expy
Dallas, TX 75231-5945
Hospital & facility affiliations
- Baylor Scott and White Medical Center Uptown
- Baylor University Medical Center
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1842 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star MCD, LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| North Star MCD LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| North Star MCD, LLC | Current | Accepting new patients |
Locations
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020
9101 N Central Expy
Ste 370
Dallas, TX 75231
Phone (214) 820-4397
3409 Worth St
Ste 320
Dallas, TX 75246
Phone (214) 820-2430
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3600 Gaston Ave
Ste 558
Dallas, TX 75246
700 Walter Reed Blvd
Ste 203
Garland, TX 75042
Phone (972) 426-9900
7217 Telecom Pkwy
Ste 325
Garland, TX 75044
Interoperability endpoints
- akoganti225489@direct.sw.org
- akoganti@direct.uspi.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1295496602
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1063712461
-
- Radiology Clinic/Center
- Fort Worth, TX
- NPI 1700550282
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1386647717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1891754131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 WORTH ST",
"address_2": "SUITE 320",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462029",
"telephone_number": "214-820-8350",
"fax_number": "214-820-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 WORTH ST",
"address_2": "SUITE 320",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462029",
"telephone_number": "214-820-8350",
"fax_number": "214-820-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGANTI",
"first_name": "ANIL",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "M1842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M2956",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176308803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176308801",
"state": "TX"
}
],
"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 Jun 4, 2009; 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.