GURUPRASAD TIPTUR MAHADEVAIAH M.D.
NPI 1265769806
Pediatrics - Pediatric Cardiology in San Antonio, TX

Q: What is Guruprasad Tiptur Mahadevaiah's NPI number?

The NPI number for Guruprasad Tiptur Mahadevaiah is 1265769806. It was assigned to this individual provider in the NPPES registry on November 3, 2009.

Q: What is Guruprasad Tiptur Mahadevaiah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since November 03, 2009PECOS EnrolledAccepts Medicare Assignment

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2024, Jun 11, 2024 (2 updates tracked since 2024).

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About Guruprasad Tiptur Mahadevaiah M.d. NPPES

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

GURUPRASAD TIPTUR MAHADEVAIAH M.D. (NPI 1265769806) is an individual pediatric cardiology provider in San Antonio, Texas, licensed in Texas (V1910) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265769806

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameGURUPRASAD TIPTUR MAHADEVAIAHCredential: M.D.

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address315 N San Saba Ste 1135San Antonio, TX 78207-3255 · (210) 704-8878

Phone(210) 704-3030

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateNovember 3, 2009

Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1265769806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in TX · V1910✔ Licensed in CA · A152729

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License A152729 (CA), V1910 (TX)

333 N SANTA ROSA, San Antonio, TX 78207

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Other Identifiers 1

Medicaid14901846NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guruprasad Tiptur Mahadevaiah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769789791

PECOS Enrollment IDI20240618000895

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)