Active NPI
Smitha Rudraraju, M.D.
- Rheumatology Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- N5984
- Practice address
- 4716 Alliance Blvd Ste 775
Plano, TX 75093 - Phone
- (469) 800-6000
- Fax
- (469) 800-6000
- NPI assigned
- Jul 10, 2007
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | N5984 | TX | Primary |
Addresses
Primary practice location
4716 Alliance Blvd Ste 775
Plano, TX 75093
Mailing address
4716 Alliance Boulevard
Ste 775
Plano, TX 75093-5371
Phone (469) 800-6069
Other practice location 1
909 9th Ave
Suite 300
Fort Worth, TX 76104-3903
Phone (817) 336-7191
Other practice location 2
909 9th Ave
Suite 300
Fort Worth, TX 76104-3903
Phone (817) 336-7191
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217842801 | Medicaid | TX | |
| 217842802 | Medicaid | TX | |
| P00882615 | Other | TX | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
981 State Hwy 121
Suite 3150
Allen, TX 75013-6151
Phone (972) 798-8553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis and Rheumatology Institute, PLLC | Rheumatology | Current | Accepting new patients |
| Medical Clinic of North Texas PLLC | Past | Accepting new patients |
Locations
981 State Highway 121
Ste 3150
Allen, TX 75013
Phone (972) 798-5883
3550 Parkwood Blvd
Ste 405
Frisco, TX 75034
Phone (469) 287-8800
8501 Wade Blvd
Ste 820
Frisco, TX 75034
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/BBJDCD/Endpoint/BBJDCD
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.
-
- Rheumatology Physician
- Allen, TX
- NPI 1356819106
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555200000000",
"number": "1104024371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 ALLIANCE BOULEVARD",
"address_2": "STE 775",
"city": "PLANO",
"state": "TX",
"postal_code": "750935371",
"telephone_number": "469-800-6069",
"fax_number": "469-800-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 ALLIANCE BLVD STE 775",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "469-800-6000",
"fax_number": "469-800-6000"
}
],
"practiceLocations": [
{
"address_1": "909 9th Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043903",
"country_code": "US",
"telephone_number": "817-336-7191",
"fax_number": "817-332-8076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "909 9th Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043903",
"country_code": "US",
"telephone_number": "817-336-7191",
"fax_number": "817-332-8076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDRARAJU",
"first_name": "SMITHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2019-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "N5984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217842801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217842802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00882615",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; 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.