Individual provider Active NPI

Anuradha Namuduri, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1114260981
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q5049 Issued in TX
Practice address
3520 NW Centre Dr
Fort Worth, TX 76135-3612
Phone
(214) 529-3062
NPI assigned
Mar 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q5049 TX Primary

Addresses

Primary practice location

3520 NW Centre Dr
Fort Worth, TX 76135-3612

Mailing address

3520 NW Centre Dr
Fort Worth, TX 76135-3612
Phone (214) 529-3062

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
I20160720002186 TX Practitioner - Family Practice 0042503518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

19701 Kingwood Dr
B
Kingwood, TX 77339-3773
Phone (936) 270-4680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5049TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jan 3, 2022 Accepting new patients
Primary Health Physicians, PLLC PastSince Sep 7, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

7550 Greenbriar Dr
Ste RB6230
Houston, TX 77030
Phone (713) 363-8256

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

4501 Magnolia Cove Dr
Ste 201
Kingwood, TX 77345
Phone (936) 270-3933

4501 Magnolia Cove Dr
Ste 106
Kingwood, TX 77345
Phone (936) 270-4949

19701 Kingwood Dr
#B
Kingwood, TX 77339
Phone (936) 270-4680

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: anamuduri396831@directhoustonmethodist.org

Organizations & group practices 4

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 5

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": "1364688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1114260981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 NW CENTRE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353612",
            "telephone_number": "214-529-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 NW CENTRE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353612",
            "telephone_number": "214-529-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMUDURI",
        "first_name": "ANURADHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-31",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.