Mallikarjuna Mukka MD PA
NPI 1215116660ActiveOrganization· Internal Medicine, Infectious Disease· Fort Worth, TX
Internal Medicine, Infectious Disease in Fort Worth, Texas, registered in NPPES in November 2007. The authorized official on file is Mallikarjuna R. Mukka, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215116660 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2007 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | — | — |
| Preferred Provider Organization | 305R00000X | L9822 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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