Individual provider Active NPI

Neelima Gaddam, MD

  • Internal Medicine Physician
  • Live Oak, TX
National Provider Identifier
1134847726
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W0162 Issued in TX
Practice address
12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204
Phone
(210) 646-1994
Fax
(877) 212-6201
NPI assigned
Aug 18, 2022
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X W0162 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204

Mailing address

12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204
Phone (210) 654-0030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neelima.gaddam.1@29601.direct.athenahealth.com Direct

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
I20250927000371 TX Practitioner - Internal Medicine 5698270726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12602 Toepperwein Rd
Suite 100
Live Oak, TX 78233-3204
Phone (210) 654-0030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

12602 Toepperwein Rd
Ste 100
Live Oak, TX 78233
Phone (210) 620-9669

Interoperability endpoints

  • Direct secure messaging: neelima.gaddam.1@29601.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1134847726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333204",
            "telephone_number": "210-654-0030",
            "fax_number": "877-212-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333204",
            "telephone_number": "210-646-1994",
            "fax_number": "877-212-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDAM",
        "first_name": "NEELIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W0162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neelima.gaddam.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12602 Toepperwein Rd Ste 100",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.