KAVITHA MAMINDLA (M.D.) – Internal Medicine Physician, NPI 1538309794

KAVITHA MAMINDLA (M.D.) is a healthcare provider. based in Azle, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MT192293 (PA). The NPI Number for KAVITHA MAMINDLA (M.D.) is 1538309794

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KAVITHA MAMINDLA (M.D.)
NPI
1538309794
Phone
(817) 820-4906
Address
108 DENVER TRL
Enumeration Date
2 March 2009
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403843535
Graduation Year
2004 (22 years ago)
PAC ID
8325214406
Group Practice PAC ID
5799785119
Professional Enrollment ID
I20170706001442
Address ID
TX762106850DE3535X35XX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for KAVITHA MAMINDLA (M.D.)

  • Texas Health Harris Methodist Hospital Azle, 108, Denver Trail, Azle, Tarrant County, Texas, 76020, United States

    AZLE, TX 760203614

    Phone: (817) 820-4906

    Fax: (817) 820-4815

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111221000170IInternal MedicinePATBD
I20170706001442IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13592$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only9167$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8965$0
99239Hospital discharge day management, more than 30 minutes6160$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6160$0
View full utilization report →

Insurance plans in this area (ZIP 76020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799785119View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineTX
-NJ
H O S P I T A L I S TTX
-NY
Internal MedicineOK
Hospitalist, Internal MedicineTN
Internal Medicine, HospitalistOH
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAVITHA MAMINDLA (M.D.)?
KAVITHA MAMINDLA (M.D.) — NPI 1538309794 — is the standard way to identify this listing.
Does CMS list KAVITHA MAMINDLA (M.D.) as active?
Yes — KAVITHA MAMINDLA (M.D.) is active in the NPI listing used on this page.
What healthcare role does KAVITHA MAMINDLA (M.D.) hold?
Scheduling teams often label KAVITHA MAMINDLA (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KAVITHA MAMINDLA (M.D.) serve?
KAVITHA MAMINDLA (M.D.)'s listing highlights Azle, Texas; more addresses can appear in NPPES.
Is the information about KAVITHA MAMINDLA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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