Physician Compare National Logo

Physician Compare National (NPI:1275798019)

HEALTHCARE PROVIDER: SUDHARANI DIKKALA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1275798019
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7012076813
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130130000129
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DIKKALA
Individual professional last name
Provider First Name SUDHARANI
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty NEPHROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NTKC-DFW, PLLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8820138464
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 7
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2425 HWY 121
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 201
Group Practice or individual's line 2 address
City BEDFORD
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 760215011
Group Practice or individual's zip code (9 digits when available)
Phone Number 8174886812
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450563
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450639
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 450087
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 MEDICAL CITY NORTH HILLS
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 670085
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 670103
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 MEDICAL CITY ALLIANCE
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

Copyright © 2007-2026 Data Labs Health. All rights reserved.