Smitha Syamala Komatreddy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1102099 Issued in TX

Practice address

823 Ira E Woods Ave Ste 200
Grapevine, TX 76051-4096

Phone

(817) 722-6078

NPI assigned

Jul 8, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MD Trucare PAGroup PAC ID 1557643467, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJHDBD

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.

• MD Trucare PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Grapevine, TX
  • NPI 1043754526
  Medicare reassignment Care Compare group NPD
• BSW Geode Clinicians of Texas PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1790482834
  Medicare reassignment
• Geode Health of Texas, PLLC

  • Psychiatry Physician
  • Allen, TX
  • NPI 1851037162
  Medicare reassignment

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1174413470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CROSS TIMBERS TRL",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196714",
            "telephone_number": "203-273-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514096",
            "telephone_number": "817-722-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYAMALA KOMATREDDY",
        "first_name": "SMITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1102099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary McSparren Sutton, NP
• Fanta Suwaneh, PA
• Pavel Svintozelskiy, PHARMD
• Beverly Sweatt, M.S., CCC-SLP
• Catherine A Swiatocha, LPC
• Faez Syed, MD EXPECTED MAY 2020
• Uzma A Syeda, MD
• Synergy Alliance LLC
• Synergy Home Healthcare, LLC
• Synergy Wellness & Chiropractic, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.