| Siva Mandadi, MD | |
|
701 W 5th St, Odessa, TX 79763-4206 | |
| (432) 335-1700 | |
| Not Available |
| Full Name | Siva Mandadi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 701 W 5th St, Odessa, 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 |
|---|---|---|---|
| 1538396858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | BP1-0035519 (Texas) | Secondary |
| 207R00000X | Internal Medicine | P8942 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Texas Physician Services, Pllc | 6305295429 | 215 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Sound Inpatient Physicians Of Texas I, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831424563 PECOS PAC ID: 8729133640 Enrollment ID: O20090828000300 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | North Texas Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Siva Mandadi, MD 701 W 5th St, Odessa, TX 79763-4206 Ph: (432) 335-1700 | Siva Mandadi, MD 701 W 5th St, Odessa, TX 79763-4206 Ph: (432) 335-1700 |
Augusto C Sepulveda, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8050 E Highway 191, Suite 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-337-0301 | |
Suresh Prasad, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 403 Pittsburg Ave, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 | |
Dr. Armugam Prasad Mekala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4778 | |
Shashank Satish Nayak, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 | |
Dr. Timothy Kilian George, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 | |
Sam Eun Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191, Ste 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-561-5014 | |
Dr. Pankaj Khandelwal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 |