Kiran Jagarlamudi, MASTERS
NPI 1508199050ActiveIndividual· Speech-Language Pathologist· Prosper, TX
Speech-Language Pathologist (MASTERS) with Legacy Healthcare Services Inc and 1 other group, practicing in Prosper, Texas. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1508199050 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MASTERS |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2009 |
| Last updated in NPPES | Aug 11, 2021 |
| Certified by provider | Aug 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 118596 | TX |
| Speech-Language Pathologist | 235Z00000X | SL007769 | PA |
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 Practitioner - Qualified Speech Language Pathologist (TX) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Vista Physical Therapy LLCMelissa, TX · 17 clinicians
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