NPIMap

Organization Active NPI

Star MD, PLLC

  • Hospitalist Physician
  • Mesquite, TX
National Provider Identifier
1972059392
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
STAR MD, PLLC
Practice address
1011 N Galloway Ave
Mesquite, TX 75149
Phone
(214) 320-7000
NPI assigned
Aug 26, 2016
Last updated
Jun 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Srikanth T Jyothinagaram, MD
Title
President
Phone
(972) 698-2371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1011 N Galloway Ave
Mesquite, TX 75149

Mailing address

2201 Long Prairie Rd
Ste 107 PMB 300
Flower Mound, TX 75022-4964
Phone (972) 698-2371

Other practice location 1

4617 Saint Clair Ct
Flower Mound, TX 75022-1041
Phone (972) 698-2371

National Provider Directory

National Provider Directory

Locations

1011 N Galloway Ave
Ste 3
Mesquite, TX 75149

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1972059392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD",
            "address_2": "STE 107 PMB 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224964",
            "telephone_number": "972-698-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "214-320-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Saint Clair Ct",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750221041",
            "country_code": "US",
            "telephone_number": "972-698-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "JYOTHINAGARAM",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-698-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.