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Deactivated NPI 1417975723 Deactivated / Inactive NPI Male Practitioner

Dr. Mallapur S Rao , MD

General Practice • Mesquite, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mallapur Rao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date March 11, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mallapur Rao, MD was a registered General Practice practicing in Mesquite, TX. Throughout an active medical career spanning 16 years, Dr. Rao provided care at the practice location at 1645 N TOWN EAST BLVD until profile deactivation on 2022-03-11.

Practice Location & Contact Primary Location

Practice Address

1645 N Town East Blvd
Suite 174

Mesquite, TX 751504158

Telephone 9722705549
Fax 9722705558
Associated Practice Facility / Clinic
🏢 Rmbo Enterprises Ltd Facility NPI 1164448304

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mesquite, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 53.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Mesquite, TX (1183 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX F2412

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Latonja Shaw , APRN

Nurse Practitioner - Family

NPI 1063885515

Advanced Practice Registered Nurse

Wendy Fasano , PA

Physician Assistant

NPI 1073094975

Physician Assistant

NPI 1073256087

Doctor of Osteopathic Medicine (D.O.)

NPI 1285668202

Doctor of Medicine (M.D.)

January Jones , PA-C

Physician Assistant - Medical

NPI 1437309309

Physician Assistant (Certified)

Dr. Alan Kenney , MD

Family Medicine

NPI 1922033612

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 11, 2022

Record deactivated on March 11, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1645 N TOWN EAST BLVD, SUITE 174, MESQUITE, TX 751504158 (Tel: 9722705549)

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Updated Business Mailing Address July 08, 2007

Registered at 9229 LYNDON B JOHNSON FWY, SUITE 250, DALLAS, TX 752433405 (Tel: 9727393097)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MALLAPUR RAO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #F2412 in TX)

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Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417975723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Deactivation Date: March 11, 2022

Mailing Address

9229 Lyndon B Johnson Fwy, Suite 250

Dallas, TX 752433405

Phone: 9727393097

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.