NPIMap

Individual provider Active NPI

Lalitha Jagadish, M.D.

  • Internal Medicine Physician
  • Burleson, TX
National Provider Identifier
1982654554
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2346 Issued in TX
Practice address
11803 South Fwy
Suite201
Burleson, TX 76028-7012
Phone
(817) 293-4800
Fax
(817) 293-4808
NPI assigned
May 12, 2006
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2346 TX Primary

Addresses

Primary practice location

11803 South Fwy
Suite201
Burleson, TX 76028-7012

Mailing address

PO Box 646
Crowley, TX 76036-0646
Phone (817) 293-4800

Other identifiers 1

IdentifierTypeStateIssuer
H08S582001OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000077 TX Practitioner - Internal Medicine 4183689052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11803 S Fwy
Suite 204
Burleson, TX 76028-7030
Phone (817) 293-4800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lalitha Jagadish, M.D., P.a Internal Medicine CurrentSince Sep 27, 2004 Accepting new patients
Deuteronomy Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Deuteronomy Past Accepting new patients
West Wharton County Hospital District PastSince Apr 1, 2023 Accepting new patients
Valluri MD PHC PLLC Internal Medicine Past Accepting new patients
Hisham Bismar MD PA Internal Medicine Past Accepting new patients

Locations

11803 South Fwy
Ste 201
Burleson, TX 76028
Phone (817) 293-4800

11803 South Fwy
Ste 204
Burleson, TX 76028
Phone (817) 293-4800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCADCD/Endpoint/HCADCD

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Park Bend Rehabilitation and Healthcare CenterBurleson, TX, CCN 455763 Skilled nursing facility Adp of the SNF Apr 1, 2023
Maxserve HospiceDallas, TX, CCN 741558 Hospice Contracted Managing Employee (5%) Jan 1, 2024
Maxserve HospiceDallas, TX, CCN 971580 Hospice Contracted Managing Employee (5%) Jan 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 10

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1982654554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760360646",
            "telephone_number": "817-293-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FWY",
            "address_2": "SUITE201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287012",
            "telephone_number": "817-293-4800",
            "fax_number": "817-293-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGADISH",
        "first_name": "LALITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08S582001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.