DEEPAK BOMMISETTY (NPI# 1922454982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922454982 |
| Entity Type | Individual |
| Full Name | DEEPAK BOMMISETTY |
| Credential | M.D. |
| Practice Address |
1441 N Beckley Ave Dallas TX 75203 |
| Mailing Address |
1441 N Beckley Ave Dallas TX 75203-1201 |
| Practice Telephone | 2149472455 |
| Practice Fax Number | 2149472390 |
| Mailing Telephone | 2149472455 |
| Mailing Fax Number | 2149472390 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R8868 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Gaston Ave, Dallas, TX 752462017 | 2148202361 |
| Street Address |
1441 N BECKLEY AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500395 | Alan Roach | Pharmacist | 1441 N Beckley Ave, Methodist Hospital of Dallas, Dallas, TX 75203-1201 | 2005-06-30 |
| 1740881648 | Joan Kaminar | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-11-06 |
| 1508473794 | Marlo Jeffrey | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-30 |
| 1457967523 | Misty Whitmire | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-23 |
| 1073127379 | Shurekkia Shantrice Hudgen | Registered Nurse | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-03 |
| 1134731193 | Cynthia Nachae Wrenn | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-08-20 |
| 1609490036 | Emily Nicole Seymour | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-06-01 |
| 1992328983 | Rachel Mentzel | Physical Therapist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-05-25 |
| 1891316204 | Pooja Dasari | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-27 |
| 1891315669 | Bobby Palmos | Surgery | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1720693708 | Sally Purcell | Internal Medicine | 6150 E Mockingbird Ln, Dallas, TX 75214-2601 | 2020-09-15 |
| 1881211001 | Priscilla Kovacs | Internal Medicine | 2909 S Hampton Rd # D107, Dallas, TX 75224-3000 | 2020-07-03 |
| 1447876586 | William F Cox Md Pa | Internal Medicine | 8220 Walnut Hill Ln Ste 500, Dallas, TX 75231-4414 | 2020-06-24 |
| 1801418637 | Concierge Telemedicine Pllc | Internal Medicine | 10847 Sanden Dr Ste 102, Dallas, TX 75238-5356 | 2020-05-14 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1588138143 | Element Health & Wellness, Pllc | Internal Medicine | 4225 Office Pkwy # 102, Dallas, TX 75204-3628 | 2019-01-17 |
| 1245712421 | Kokoro Body Therapies, Pllc | Internal Medicine | 14850 Montfort Dr Ste 181, Lb 11, Dallas, TX 75254-1450 | 2018-09-04 |
| 1033608740 | Ahsan Riaz Md Pllc | Internal Medicine | 6207 Walnut Hill Ln, Dallas, TX 75230-5114 | 2018-05-08 |
| 1821590860 | Kairos Health Clinics | Internal Medicine | 9101 Lbj Fwy Ste 310, Dallas, TX 75243-1901 | 2018-03-06 |
| Find all providers in DALLAS | ||||
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| 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.