Individual provider Active NPI

Kavitha Nalla

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1982800314
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9526 Issued in TX
Practice address
8756 Teel Pkwy Ste 350
Frisco, TX 75034-4416
Phone
(972) 712-5454
Fax
(972) 712-5442
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M9526 TX Primary

Addresses

Primary practice location

8756 Teel Pkwy Ste 350
Frisco, TX 75034-4416

Mailing address

11127 Ruidosa LN
Frisco, TX 75033-1783

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
I20091221000625 TX Practitioner - Family Practice 7214077379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1345 Valwood Pkwy
Suite 306
Carrollton, TX 75006-6891
Phone (972) 484-6435

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Oct 13, 2009 Accepting new patients
American Current Care P.a. CurrentSince Oct 13, 2009 Accepting new patients
American Current Care, P.a. Current Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1345 Valwood Pkwy
Ste 306
Carrollton, TX 75006
Phone (972) 484-6435

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

8756 Teel Pkwy
Ste 350
Frisco, TX 75034
Phone (972) 712-5454

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1982800314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11127 RUIDOSA LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8756 TEEL PKWY STE 350",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344416",
            "telephone_number": "972-712-5454",
            "fax_number": "972-712-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLA",
        "first_name": "KAVITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.