NPIMap

Individual provider Active NPI

Divijani Dendi Puttagunta, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1982815999
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9591 Issued in TX
Practice address
10670 N Central Expy Ste 120
Dallas, TX 75231-2130
Phone
(214) 692-8541
Fax
(214) 242-1035
NPI assigned
May 24, 2007
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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 M9591 TX Primary

Addresses

Primary practice location

10670 N Central Expy Ste 120
Dallas, TX 75231-2130

Mailing address

10670 N Central Expy Ste 120
Dallas, TX 75231-2130
Phone (214) 692-8541

Other names 1

  • Divijani Dendi Former name

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
I20090212000726 TX Practitioner - Internal Medicine 5799840427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists AssociatedGroup PAC ID 2365407202, 12 clinicians

Practice addresses (Care Compare)

10670 N Central Expy
Suite 120
Dallas, TX 75231-2130
Phone 2146928541213

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9591TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Associated Internal Medicine CurrentSince Sep 22, 2008 Accepting new patients
Consultants in Radiology PA PastSince Sep 22, 2008 Accepting new patients

Locations

10670 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 692-8541

5461 La Sierra Dr
Dallas, TX 75231
Phone (214) 348-7611

Interoperability endpoints

  • Direct secure messaging: divijani.puttagunta@msassoc.eclinicaldirectplus.com

Organizations & group practices 2

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 6

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1982815999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTAGUNTA",
        "first_name": "DIVIJANI",
        "middle_name": "DENDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVIJANI",
            "last_name": "DENDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.