Individual provider Active NPI

Uma Chetana Mukkamalla Reddy, MBBS

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1053584979
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q7933 Issued in TX
Practice address
12840 Hillcrest Rd Ste E104
Dallas, TX 75230-1528
Phone
(214) 838-6440
Fax
(214) 838-6441
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q7933 TX Primary

Addresses

Primary practice location

12840 Hillcrest Rd Ste E104
Dallas, TX 75230-1528

Mailing address

12840 Hillcrest Rd Ste E104
Dallas, TX 75230-1528
Phone (214) 838-6440

Other practice location 1

12610 E Northwest Hwy
Dallas, TX 75228-8010
Phone (469) 436-3650

Other practice location 2

13284 Bigelow Ln
Frisco, TX 75035-0782
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CT, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190118000507 TX Practitioner - Diagnostic Radiology 7911120001 Reassigns benefits to 5 organizations
I20210415002308 CT Practitioner - Diagnostic Radiology 7911120001 Reassigns benefits to 3 organizations
I20260604001382 AZ Practitioner - Diagnostic Radiology 7911120001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians

Practice addresses (Care Compare)

13284 Bigelow LN
Frisco, TX 75035-0782
Phone (855) 504-4544

4417 University Blvd
Dallas, TX 75205-1638
Phone (570) 887-2482

4927 Fairford Dr
Sugar Land, TX 77479-3589
Phone (570) 888-5858

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Corning Hospital Hospital, Corning, NY, CCN 330277
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Jul 14, 2024 Accepting new patients
Hunt Memorial Hospital District Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 18, 2021 Accepting new patients
Hunt Memorial Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Guilford Radiology LLC Diagnostic Radiology Past Accepting new patients
Allergy, Asthma & Immunology Center, PLLC PastSince Feb 3, 2014 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations (25 of 33)

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

13640 N Plaza del Rio Blvd
Ste 105
Peoria, AZ 85381

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

4001 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 209-7000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7375 S Houghton Rd
Ste 115
Tucson, AZ 85747
Phone (520) 640-6300

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1053584979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 HILLCREST RD STE E104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301528",
            "telephone_number": "214-838-6440",
            "fax_number": "214-838-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 HILLCREST RD STE E104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301528",
            "telephone_number": "214-838-6440",
            "fax_number": "214-838-6441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12610 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752288010",
            "country_code": "US",
            "telephone_number": "469-436-3650",
            "fax_number": "844-846-8853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13284 Bigelow Ln",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750350782",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "UMA",
        "middle_name": "CHETANA MUKKAMALLA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q7933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.