DEEPIKA KILARU MD PA
NPI 1376974345
Internal Medicine in Grapevine, TX

Active since December 02, 2013
4100 HERITAGE AVE STE 106, GRAPEVINE, TX 76051(214) 455-0579 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deepika Kilaru Md Pa NPPES

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

DEEPIKA KILARU MD PA (NPI 1376974345) is a healthcare organization registered as an internal medicine in Grapevine, Texas and active in the NPI registry since December 2013. The organization lists Deepkia Kilaru, Owner, as its authorized official.

NPPES Registry Identity

NPI1376974345
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDEEPIKA KILARU MD PA
Location Address4100 HERITAGE AVE STE 106Grapevine, TX 76051-5716
Mailing Address2600 E Southlake Blvd Ste 120332Southlake, TX 76092-6634 · (214) 455-0579
Organization SubpartNo
Authorized OfficialDeepkia KilaruOwner · (214) 455-0579
Enumeration DateDecember 2, 2013
Last NPPES UpdateFebruary 17, 2023
NPPES CertifiedFebruary 17, 2023
✔ NPI 1376974345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N1365
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.
4100 HERITAGE AVE STE 106, Grapevine, TX 76051

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepika Kilaru Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deepika Kilaru MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1780836429
1363 E DOVE RD
Southlake, TX 76092
(214) 455-0579
✔ PECOS✔ Accepts Medicare5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deepika Kilaru MD PA's NPI number?

The NPI number for Deepika Kilaru MD PA is 1376974345. It was assigned to this organization in the NPPES registry on December 2, 2013.

Where is Deepika Kilaru MD PA located?

Deepika Kilaru MD PA is located at 4100 Heritage Ave Ste 106, Grapevine, TX 76051. The listed phone number is (214) 455-0579.

What is Deepika Kilaru MD PA's specialty?

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

Is Deepika Kilaru MD PA enrolled in Medicare?

Yes. Deepika Kilaru MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deepika Kilaru MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Deepika Kilaru MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deepika Kilaru MD PA was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.