Shobha Dharam Reddy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M3369 Issued in TX

Practice address

3108 Ranch Road 620 S
Lakeway, TX 78738-5635

Phone

(512) 654-4200

Fax

(512) 654-4201

NPI assigned

Jul 24, 2006

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

Other identifiers 1

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Texas Home health agency, Austin, TX, CCN 679120
• Capitol Home Health Home health agency, Austin, TX, CCN 747581
• Enhabit Home Health Home health agency, Austin, TX, CCN 678267
• Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034
• Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
• Baylor Scott & White Medical Center- Austin Hospital, Austin, TX, CCN 670136
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058
• Longhorn Village Nursing home, Austin, TX, CCN 676266

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Scott & White Clinic

  dba Baylor Scott & White Clinic - Temple

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1093779704
  Medicare reassignment Care Compare group NPD
• Scott & White Clinic

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1649820796
  NPD
• Scott & White Clinic

  • Internal Medicine Physician
  • Pflugerville, TX
  • NPI 1679691729
  NPD
• Scott & White Hospital - Taylor

  dba Baylor Scott & White Medical Center - Taylor

  • Emergency Medicine Physician
  • Taylor, TX
  • NPI 1659366557
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Scott & White Medical Centers - Capitol Area

  dba Baylor Scott & White Medical Center - Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1902366305
  Care Compare affiliation
• Bir JV LLP

  dba Baylor Scott & White Institute for Rehabilitation - Lakeway

  • Rehabilitation Hospital
  • Lakeway, TX
  • NPI 1851889463

  Inpatient rehabilitation facility

  Care Compare affiliation
• Capitol Home Health, Inc.

  • Home Health Agency
  • Austin, TX
  • NPI 1992021323
  Care Compare affiliation
• Eh Home Health of Austin, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Austin, TX
  • NPI 1740518257
  Care Compare affiliation
• Longhorn Village

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1487880704

  Nursing home

  Care Compare affiliation
• Scott & White Hospital - Marble Falls

  dba Baylor Scott & White Medical Center - Marble Falls

  • General Acute Care Hospital
  • Marble Falls, TX
  • NPI 1396138970
  Care Compare affiliation
• Scott & White Hospital - Round Rock

  dba Baylor Scott & White Medical Center - Round Rock

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1265568638
  Care Compare affiliation
• Texas Home Health Skilled Services, L.P.

  dba Texas Home Health Skilled Services

  • Home Health Agency
  • Desoto, TX
  • NPI 1801880554
  Care Compare affiliation
• Texas Home Health Skilled Services,L.P.

  dba AccentCare Home Health of Texas

  • Home Health Agency
  • Austin, TX
  • NPI 1912120007
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1235151523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 RANCH ROAD 620 S",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385635",
            "telephone_number": "512-654-4200",
            "fax_number": "512-654-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHOBHA",
        "middle_name": "DHARAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1863854 01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreddy298560@direct.sw.org",
            "affiliation": "N",
            "address_1": "3108 Ranch Road 620 S",
            "city": "Lakeway",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787385635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Praveen Rapolu, M.D.
• Crystal Raun, DPT
• Kaylee Kristen Raven
• Abigail Raymis
• Anne Reckart
• Redoy Corporation
• Mara A Reilly, LMFT
• Retina of Austin, PA
• Ziba Rezaee, M.D.
• Kyle Murphy Rhodes, MD

• Internal Medicine Physician in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.