P Praxis·MD
● Active Type 1 · Individual

DR. Sai Siva Jyothi Kiranmai Mungara, M.D

Internal Medicine·Odessa, TX· NPI 1417397423 · Enumerated 2013 · 12 years on NPI
Mungara is 1 of 79 internal medicine providers in Odessa and 1 of 12343 in Texas.
NPI age
12 years
Enumerated 2013-07-05
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
TX, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
701 W 5th St Ste 3106
Odessa, TX 797634206
📞 4327035340fax 4323355297
Mailing address
701 W 5th St Ste 3106
Odessa, TX 797634206
📞 4327035340fax 4323355297

Specialties

  • Internal Medicine Primary
    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,...
    TX license #R5295IN license #01077084A taxonomy 207R00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    IN license #01077084A taxonomy 390200000X

Identifiers

TypeValueNotes
05 (IN) 201366300
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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