Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Roy Bharath Mukku, MD

Individual provider Internal Medicine Physician · NPI 1265722102

Dr. Roy Bharath Mukku, MD is an Internal Medicine in Burbank, California. Graduated from University of Texas Medical School at Houston in 2011, 15 years ago. Practices with Providence Medical Institute, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
15
Trained at
University of Texas Medical School at Houston
Licensed in
CA, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 S Buena Vista St Ste 100
Burbank, CA 91505-4570
Phone: (818) 848-6404
Fax: (818) 848-7112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence A136888 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 268278 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 136888 (CA)

Record details

NPI number1265722102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESFebruary 23, 2023
Certification dateOctober 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2011 (15 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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