Individual provider Active NPI

Prasanthi Tondapu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Flower Mound, TX
National Provider Identifier
1023210382
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M5547 Issued in TX
Practice address
3311 Yucca Dr Ste 100
Flower Mound, TX 75028-2743
Phone
(469) 930-4655
Fax
(877) 776-3240
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X M5547 TX Primary
Internal Medicine Physician 207R00000X M5547 TX

Addresses

Primary practice location

3311 Yucca Dr Ste 100
Flower Mound, TX 75028-2743

Mailing address

4505 Brenda Dr
Flower Mound, TX 75022-1001
Phone (469) 930-4655

Other practice location 1

3848 N Tarrant Pkwy Ste 120
Fort Worth, TX 76244-5422
Phone (469) 930-4655

Other identifiers 6

IdentifierTypeStateIssuer
112874604OtherTXMEDICAID GROUP TPI
213102106MedicaidTX
213102101MedicaidTX
213102104MedicaidTX
P01119012OtherTXRAILROAD MEDICARE
213102105OtherTXMEDICAID OTHER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000525 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 0840329686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DFW Endocrinology PAGroup PAC ID 7012221526, 3 clinicians

Practice addresses (Care Compare)

3311 Yucca Dr
Suite 100
Flower Mound, TX 75028-2743
Phone (469) 930-4655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5547TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Endocrinology P.a. Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2015 Accepting new patients
Saleemah Y. Fahmi, M.D., P.a. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

3848 North Tarrant Pkwy
Ste 120
Fort Worth, TX 76244
Phone (469) 930-4655

1141 Keller Pkwy
Ste C
Keller, TX 76248
Phone (469) 930-4655

Interoperability endpoints

  • Direct secure messaging: prasanthi.tondapu.1@18148.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1023210382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BRENDA DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750221001",
            "telephone_number": "469-930-4655",
            "fax_number": "877-776-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 YUCCA DR STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282743",
            "telephone_number": "469-930-4655",
            "fax_number": "877-776-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3848 N Tarrant Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445422",
            "country_code": "US",
            "telephone_number": "469-930-4655",
            "fax_number": "877-776-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONDAPU",
        "first_name": "PRASANTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "M5547",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP TPI",
            "identifier": "112874604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213102106",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213102101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213102104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01119012",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "213102105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.