Organization Active NPI

Sridhar Badireddi MD PA

  • Pulmonary Disease Physician
  • Dallas, TX
National Provider Identifier
1154964526
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SRIDHAR BADIREDDI MD PA
Practice address
3500 Gaston Ave # Floors34
Dallas, TX 75246-2017
Phone
(469) 801-4500
Fax
(469) 801-4655
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Dr. Sridhar Badireddi, MDNPI 1598960528
Title
Owner
Phone
(469) 801-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

3500 Gaston Ave # Floors34
Dallas, TX 75246-2017

Mailing address

430 Shady Oaks Dr
Southlake, TX 76092-6154
Phone (443) 204-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113001377 TX Part B Supplier - Clinic/Group Practice 0749615144 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1000 N Cooper St
Arlington, TX 76011
Phone (817) 548-3400

3500 Gaston Ave
Fl 3
Dallas, TX 75246
Phone (469) 801-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1154964526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SHADY OAKS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926154",
            "telephone_number": "443-204-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE # FLOORS34",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "469-801-4500",
            "fax_number": "469-801-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIDHAR BADIREDDI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "BADIREDDI",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-801-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.