Tejuss Kakarla, MD
Student in an Organized Health Care Education/Training Program in Joplin, MO. Individual provider (NPI-1).
NPI number1245029784
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1245029784
- Entity type
- Individual (NPI-1)
- Name
- Tejuss Kakarla
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2025
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1102 W 32nd StJoplin, MO 64804-3503
Phone 417-347-1111
Mailing address
86 Saint Germain PlSaint Charles, IL 60175-4606
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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