Anirudh Tadakamalla

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

U2647 Issued in TX

Practice address

1631 11TH Street
Unit B
Wichita Falls, TX 76301-4332

Phone

(940) 263-3000

Fax

(940) 263-3018

NPI assigned

May 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Magna Health PLLCGroup PAC ID 0749540045, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atadakamalla74749@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• La Magna Health PLLC

  • Hospitalist Physician
  • Wichita Falls, TX
  • NPI 1699285346
  Medicare reassignment Care Compare group NPD
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jack County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Jacksboro, TX
  • NPI 1154419612

  Hospital

  Care Compare affiliation
• Jack County Hospital District

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  Care Compare affiliation
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation
• Heartland Regional Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1134740970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014332",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 11TH STREET",
            "address_2": "UNIT B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014332",
            "telephone_number": "940-263-3000",
            "fax_number": "940-263-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADAKAMALLA",
        "first_name": "ANIRUDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U2647",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R78093",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U2647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Synovation Medical Group Texas, PLLC
• Arthur Jack Szczerba, M.D.
• T & W Pharmacy Inc
• T D Ventures Inc.
• Ryan L Tacker, PT
• Magdi Tadros, M.D.
• Taft Counseling Center Inc
• Hadia Tahir, M.D.
• Amr Takieldeen, M.D.
• Tom Talbert, M.D.

• Internal Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.

Verify at the official NPI Registry.