JAY R PUDUPAKKAM MD PA
NPI 1205962289
Internal Medicine in Dallas, TX

Q: What is Jay R Pudupakkam MD PA's NPI number?

The NPI number for Jay R Pudupakkam MD PA is 1205962289. It was assigned to this organization in the NPPES registry on February 26, 2007.

Q: What is Jay R Pudupakkam MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 26, 2007

12221 MERIT DR, SUITE 460, DALLAS, TX 75251(469) 374-3850(469) 374-3851 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jay R Pudupakkam Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY R PUDUPAKKAM MD PA (NPI 1205962289) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since February 2007. The organization lists Jay R Pudupakkam, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1205962289

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameJAY R PUDUPAKKAM MD PA

Location Address12221 MERIT DR, SUITE 460Dallas, TX 75251-2202

Mailing Address12221 Merit Dr, Suite 460Dallas, TX 75251-2202 · (469) 374-3850 · Fax (469) 374-3851

Phone(469) 374-3850

Fax(469) 374-3851

Organization SubpartNo

Authorized OfficialJay R PudupakkamMd Owner · (469) 374-3850

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJune 13, 2008

✔ NPI 1205962289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12221 MERIT DR, Dallas, TX 75251

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Other Identifiers 3

OtherDE8671TX · Medicare Railroad

Medicare ID-Type Unspecified00784Z

Medicaid177994401TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH OSEI FORDJOUR M.D.

Pediatrics

12221 MERIT DR, SUITE 1500
DALLAS, TX 75251

Dallas County (214) 957-4754

MATTHEW TICE MD

Emergency Medicine

12221 MERIT DR, SUITE 1500
DALLAS, TX 75251

Dallas County (214) 217-1911

MICHAEL D HARRIS PA

Physician Assistant

12221 MERIT DR, STE. 1610
DALLAS, TX 75251

Dallas County (214) 217-1911

DR. DAVID WOODKOTCH M.D.

Emergency Medicine

12221 MERIT DR, #1500
DALLAS, TX 75251

Dallas County (214) 217-1911

MR. PAUL J CLAIR PA

Physician Assistant

12221 MERIT DR, SUITE 1610
DALLAS, TX 75251

Dallas County (214) 217-1911

ANNA KRISTINA YARBROUGH PA-C

Physician Assistant

12221 MERIT DR, SUITE 1610
DALLAS, TX 75251

Dallas County (972) 372-0912

DR. ASMA MOHAMED ASHRAF M.D.

Internal Medicine

12221 MERIT DR, SUITE 1610
DALLAS, TX 75251

Dallas County (214) 217-1920

BRYAN C THIBODEAU MD

Emergency Medicine

12221 MERIT DR, SUITE 1610
DALLAS, TX 75251

Dallas County (214) 217-1912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay R Pudupakkam MD PA's NPI number?

The NPI number for Jay R Pudupakkam MD PA is 1205962289. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Jay R Pudupakkam MD PA located?

Jay R Pudupakkam MD PA is located at 12221 Merit Dr Suite 460, Dallas, TX 75251. The listed phone number is (469) 374-3850.

What is Jay R Pudupakkam MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jay R Pudupakkam MD PA was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.