Look up the most recent NPI and PECOS records

Deepa Reddy Moparty

Internal Medicine

Allopathic & Osteopathic Physicians

4700 Alliance Blvd Ste 400, Plano, TX 75093-5323

PECOS Enrollment

This provider is enrolled in PECOS as DEEPA MOPARTY.

Based on the most recent information from CMS, provider Deepa Reddy Moparty is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1093914962
Provider Type
Individual
Full Name
Moparty, Deepa Reddy
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/12/2007
Last Updated
11/27/2012

Contact Information

Practice Location

4700 Alliance Blvd Ste 400, Plano, TX 75093-5323

(469) 814-6631

(469) 814-3110

Mailing Location

4700 Alliance Blvd Ste 400, Plano, TX 75093-5323

(469) 814-6631

(469) 814-3110

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10027618 Texas

Provider Identifiers

ID	Description	Issuer
ID 2173882-01	Description Medicaid	Issuer Unlisted Texas

Deepa Reddy Moparty

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wittenberg, John Frederick

Chen, Richard C.

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Peikari, Darius

Ciborowski, Carl E.

Johnson, Nichole Kay

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Nassi, Shahryar Sean

North Texas Medical Specialists, Pllc