Individual provider Active NPI

Anil Kumar Koganti, MD

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1891754131
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M1842 Issued in TX
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

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8M2956OtherTXBCBS
176308803MedicaidTX
176308801MedicaidTX

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
I20050907000636 TX Practitioner - Orthopedic Surgery 2769453893 Reassigns benefits to 2 organizations

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
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

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 Hospital, Dallas, TX, CCN 450422
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
M1842TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MCD, LLC Current Accepting new patients
Healthtexas Provider Network Current Accepting new patients
North Star MCD LLC CurrentSince Feb 26, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Feb 26, 2018 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

  • Direct secure messaging: akoganti225489@direct.sw.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.