Individual provider Active NPI

Naga S Vytla, M.D.

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1962688580
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U0453 Issued in TX
Practice address
1400 N Coit Rd Ste 2502
McKinney, TX 75071-6664
Phone
(972) 295-9000
NPI assigned
Jan 14, 2008
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U0453 TX Primary
Hospitalist Physician 208M00000X 234284 MA

Addresses

Primary practice location

1400 N Coit Rd Ste 2502
McKinney, TX 75071-6664

Mailing address

1400 N Coit Rd Ste 2502
McKinney, TX 75071-6664
Phone (972) 295-9000

Other identifiers 2

IdentifierTypeStateIssuer
110079189AMedicaidMA
NV78494MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080519000344 MA Practitioner - HospitalistPractitioner - Internal Medicine 7618046509 Reassigns benefits to 2 organizations
I20231103001158 TX Practitioner - Internal Medicine 7618046509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deepa Chintala MD PAGroup PAC ID 1759654114, 3 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

1400 N Coit Rd
Suite 2502
McKinney, TX 75071-6664
Phone (708) 540-2111

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919

534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0453TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group, Inc CurrentSince Jan 1, 2013 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Mar 13, 2008 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Jan 1, 2013 Accepting new patients
Deepa Chintala, M.D., P.a. Internal Medicine CurrentSince Sep 8, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 13, 2008 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

1400 N Coit Rd
Ste 2502
McKinney, TX 75071
Phone (708) 540-2111

Interoperability endpoints

  • Direct secure messaging: nvytla6476@direct.southcoast.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1962688580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 2502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716664",
            "telephone_number": "972-295-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 2502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716664",
            "telephone_number": "972-295-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYTLA",
        "first_name": "NAGA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U0453",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "234284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110079189A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV78494",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.