Srikanth Thyagaraj Jyothinagaram, MD | |
1650 W College St, Suite 150, Grapevine, TX 76051-3565 | |
(817) 388-3440 | |
(817) 388-3441 |
Full Name | Srikanth Thyagaraj Jyothinagaram |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 1650 W College St, Grapevine, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306057856 | NPI | - | NPPES |
5186424 | Medicaid | MI | |
SJ089867 | Other | MI | MICHIGAN LICENSE |
1306057856 | Medicaid | MI | |
700E012740 | Other | MI | BCBSM GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301089867 (Michigan) | Secondary |
208M00000X | Hospitalist | 4301089867 (Michigan) | Secondary |
207R00000X | Internal Medicine | Q2456 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center-white Rock | Dallas, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Star Md Of Arlington Pllc | 8628428265 | 14 |
Entity Name | Healthtexas Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Entity Name | Star Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972059392 PECOS PAC ID: 2860773389 Enrollment ID: O20161221001053 |
Entity Name | Round Table Specialist Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497152268 PECOS PAC ID: 1254754609 Enrollment ID: O20200702000716 |
Entity Name | Star Md Of Arlington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124894308 PECOS PAC ID: 8628428265 Enrollment ID: O20231222002125 |
Entity Name | Star Ed Of Arlington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801662838 PECOS PAC ID: 7315398385 Enrollment ID: O20240104001117 |
Mailing Address | Practice Location Address |
---|---|
Srikanth Thyagaraj Jyothinagaram, MD 1650 W College St, Suite 150, Grapevine, TX 76051-3565 Ph: (817) 388-3440 | Srikanth Thyagaraj Jyothinagaram, MD 1650 W College St, Suite 150, Grapevine, TX 76051-3565 Ph: (817) 388-3440 |
Raul A Santos Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Suite 680, Grapevine, TX 76051 Phone: 817-912-8400 Fax: 817-912-8410 | |
Tania Purkayastha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 130, Grapevine, TX 76051 Phone: 214-689-7806 Fax: 214-689-5970 | |
Dr. Vikas Aurora, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1643 Lancaster Dr, 202, Grapevine, TX 76051 Phone: 817-251-9080 Fax: 817-251-9082 | |
Ashley Janae Fagan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524 | |
Dr. Khaliq Abdul Rauf, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 W College St, Suite 150, Grapevine, TX 76051 Phone: 817-388-3440 Fax: 817-388-3440 | |
Dr. Amyn Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Heritage Ave Ste 102, Grapevine, TX 76051 Phone: 469-251-0589 Fax: 817-381-3321 | |
Dr. Adaeze Chimeogo Nwosu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1054 Texan Trl, Suite 300, Grapevine, TX 76051 Phone: 253-682-1710 |