KATHERINE KEITH MAMOLA MD
NPI 1275809923
Pediatrics in Dallas, TX

Q: What is Katherine Mamola's NPI number?

The NPI number for Katherine Mamola is 1275809923. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Katherine Mamola's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Mamola was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-7000(214) 456-8132 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Katherine Keith Mamola Md NPPES

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

KATHERINE KEITH MAMOLA MD (NPI 1275809923) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (P9613) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2012).

NPPES Registry Identity

NPI1275809923

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHERINE KEITH MAMOLACredential: MD

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 456-7000 · Fax (214) 456-8132

Phone(214) 456-7000

Fax(214) 456-8132

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2012

Enumeration DateMarch 27, 2012

Last NPPES UpdateOctober 29, 2018

✔ NPI 1275809923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · P9613

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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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.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

Katherine Keith Mamola Md 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 ID345556601

PECOS Enrollment IDI20150901001289

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine