DR. SRINIVASA RAO KOTHAPALLI (NPI# 1528036118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528036118 |
| Entity Type | Individual |
| Full Name | DR. SRINIVASA RAO KOTHAPALLI |
| Credential | M.D. |
| Practice Address |
2501 Jimmy Johnson Boulevard Suite 500 Port Arthur TX 77640 |
| Practice Telephone | 4097236600 |
| Practice Fax Number | 4097236698 |
| Mailing Telephone | 4097236600 |
| Mailing Fax Number | 4097236698 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
J1286 | TX | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
J1286 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GTPA | 22015 | 01 |
| PALMETTO GBA | 060042362 | 01 |
| Street Address |
2501 JIMMY JOHNSON BOULEVARD SUITE 500 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740239 | Pradip J Morbia | Internal Medicine | 3921 N Twin City Hwy, Port Arthur, TX 77642-2118 | 2005-06-16 |
| 1700121753 | Leonard M. Thome, M.d., P.a. | Internal Medicine | 3820 Highway 365, Suite 100, Port Arthur, TX 77642-7543 | 2012-12-03 |
| 1821195504 | Smith and Thome Cardiovascular Consultants, LLP | Internal Medicine | 3820 Highway 365, Suite 100, Port Arthur, TX 77642-7543 | 2006-09-17 |
| 1982701652 | Leonard M. Thome | Internal Medicine | 3820 Highway 365, Suite 100, Port Arthur, TX 77642-7543 | 2006-09-17 |
| 1699786640 | S.k. Rao, M.d., P.a. | Internal Medicine | 2501 Jimmy Johnson Blvd, Suite 500, Port Arthur, TX 77640-2000 | 2006-08-11 |
| 1861409278 | Nidal I Buheis | Internal Medicine | 2501 Jimmy Johnson Blvd, Suite 500, Port Arthur, TX 77640-2000 | 2006-08-01 |
| 1255330569 | Mohammed Amirul Islam | Internal Medicine | 3921 N Twin City Hwy, Port Arthur, TX 77642-2118 | 2005-07-19 |
| 1275539157 | Gulf Coast Cardiology Grp Pllc | Internal Medicine | 3921 N Twin City Hwy, Port Arthur, TX 77642-2118 | 2005-06-24 |
| 1417952029 | Dia Abochamh | Internal Medicine | 3921 N Twin City Hwy, Port Arthur, TX 77642-2118 | 2005-06-20 |
| 1952306565 | Nabeel Abdullah | Internal Medicine | 3921 N Twin City Hwy, Port Arthur, TX 77642-2118 | 2005-06-20 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
Please comment or provide details below to improve the information on DR. SRINIVASA RAO KOTHAPALLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.