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

Guruprasad Tiptur Mahadevaiah, MD

Individual provider Pediatric Cardiology Physician · NPI 1265769806

Guruprasad Tiptur Mahadevaiah, MD is a Pediatric Medicine in San Antonio, Texas. Qualified in 2000, 26 years ago. Practices with Baylor College of Medicine, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
26
Licensed in
CA, TX
In the registry since
2009
Specialties on file
4
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

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone: (210) 704-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2929 K St Ste 200, Sacramento, CA 95816-5122 — (916) 750-2328

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence V1910 (TX)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence A152729 (CA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence A152729 (CA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence V1910 (TX)

Record details

NPI number1265769806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2009
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Baylor College Of Medicine — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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