Individual provider Active NPI

Kiranmaye Balapala, M.D.

  • Family Medicine Physician
  • Richmond, TX
National Provider Identifier
1972705754
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5930 Issued in TX
Practice address
22001 Southwest Fwy
Suite 200
Richmond, TX 77469-7001
Phone
(832) 595-7700
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201659 LA
Family Medicine Physician 207Q00000X P5930 TX Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X P5930 TX

Addresses

Primary practice location

22001 Southwest Fwy
Suite 200
Richmond, TX 77469-7001

Mailing address

22001 Southwest Fway Suite 200
Richmond, TX 77469
Phone (832) 595-7700

Other identifiers 1

IdentifierTypeStateIssuer
1071188MedicaidLA

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
I20171016001552 TX Order and Referring Only - Family PracticePractitioner - Family Practice 4789771205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201659LAMDFamily Medicine Physician
P5930TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1972705754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 SOUTHWEST FWAY SUITE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "832-595-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 SOUTHWEST FWY",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697001",
            "telephone_number": "832-595-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAPALA",
        "first_name": "KIRANMAYE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201659",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5930",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "P5930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071188",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.