Active NPI
Uma Chetana Mukkamalla Reddy, MBBS
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- Q7933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LTDGuthrie Medical Group PC
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
- Northwest Medical Center
- Corning Hospital
- Abrazo Arrowhead Hospital
- Guthrie Cortland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meriden Imaging Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radiologic Associates of Middletown PC | Diagnostic Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Hunt Memorial Hospital District | Family Medicine | Current | Accepting new patients |
| Diagnostic Imaging Services of CT, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Midstate Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Hunt Memorial Hospital District | Current | Accepting new patients | |
| Guilford Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
| Allergy, Asthma & Immunology Center, PLLC | Past | 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.
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, TX
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
Family Medicine, TX
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1093760431
CT, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Wallingford, CT
- NPI 1508812561
CT, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Meriden, CT
- NPI 1578518999
CT, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Middletown, CT
- NPI 1124137328
Diagnostic Radiology, TX
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Durable Medical Equipment & Medical Supplies
- Waverly, NY
- NPI 1578755682
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.