Madhu Polimeru

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1266430 Issued in TX

Practice address

4642 N Loop 289 Ste 205
Lubbock, TX 79416-2424

Phone

(806) 771-1352

NPI assigned

Dec 8, 2013

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mandm Health Services CorporationGroup PAC ID 6406238179, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• M&M Health Services Corporation

  • Physical Therapy Clinic/Center
  • McKinney, TX
  • NPI 1154067619
  Medicare reassignment Care Compare group NPD
• Kirk J Tiemann,MD,PA

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1235495102
  Medicare reassignment NPD

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174954713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289 STE 205",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162424",
            "telephone_number": "806-771-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 S Sunset Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Littlefield",
            "state": "TX",
            "postal_code": "793394813",
            "country_code": "US",
            "telephone_number": "806-385-3746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4138 19th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072403",
            "country_code": "US",
            "telephone_number": "806-780-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 S Loop 289",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794231519",
            "country_code": "US",
            "telephone_number": "806-771-8008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6202 82nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243691",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIMERU",
        "first_name": "MADHU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1266430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8HH298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podiatric Medical Partners of Texas, PA
• Gregory Scott Poe, M.D.
• Katy Rebecca-Franklin Poff, MS, RD, LD
• Ali M Pohlmeier
• Jordyn Lexi Poindexter
• Avery Nicole Polk
• Jason Glenn Polk, BS, RRT, RCP
• Robert F Polk III, OD
• Whitney Polk, PTA
• Cole Thomas Pollina, MD

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.