Suchita Reddy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3754 Issued in TX

Practice address

2919 Markum Dr
Fort Worth, TX 76117

Phone

(817) 831-0321

Fax

(817) 831-3211

NPI assigned

Jun 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• T & R Clinic a Professional Association

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1578514535
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1154325132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUCHITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E3754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101920002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyanka Gurram Reddy, DO
• Rajneesh D Reddy, M.D.
• Sangameshwar Reddy, MD
• Soumya Reddy
• Sruthi Reddy
• Suman Reddy, M.D.
• Sunil Surasani Reddy, M.D.
• Tarakumar Reddy, M.D.
• Veenadhari T Reddy, MS, RD, LD
• Christiana Nicole Redeaux, LCSW

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.