Individual provider Active NPI

Arvind V Peddada, MD

  • Physical Medicine & Rehabilitation Physician
  • Denison, TX
National Provider Identifier
1053374587
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J7624 Issued in TX
Practice address
5016 S US Highway 75
Denison, TX 75020-4584
Phone
(817) 284-9850
Fax
(817) 284-9859
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J7624 TX Primary

Addresses

Primary practice location

5016 S US Highway 75
Denison, TX 75020-4584

Mailing address

PO Box 733424
Dallas, TX 75373-3424
Phone (817) 284-9850

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
I20050225000530 TX Practitioner - Physical Medicine and Rehabilitation 2961455308

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1053374587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733424",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733424",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 S US HIGHWAY 75",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204584",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDDADA",
        "first_name": "ARVIND",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J7624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.