Individual provider Active NPI

Srikar R Malireddy, MD

  • Hematology & Oncology Physician
  • Wichita Falls, TX
National Provider Identifier
1255517561
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L7469 Issued in TX
Practice address
5400 Kell Blvd
Wichita Falls, TX 76310-1610
Phone
(940) 691-8271
Fax
(940) 692-2042
NPI assigned
Jan 16, 2008
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061129A IN
Internal Medicine Physician 207R00000X 01061129 IN
Internal Medicine Physician 207R00000X L7469 TX
Hematology & Oncology Physician 207RH0003X L7469 TX Primary

Addresses

Primary practice location

5400 Kell Blvd
Wichita Falls, TX 76310-1610

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 7

IdentifierTypeStateIssuer
P00975255OtherTXRAILROAD MEDICARE
160931502MedicaidTX
200522490AMedicaidOR
200892730MedicaidIN
P00478524OtherINRAILROAD MEDICARE
000000550635OtherINANTHEM
200522490AMedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110722000540 TX Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Internal Medicine 2163506791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

100 S Ave M
Olney, TX 76374-1642
Phone (940) 691-8271

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

4103 Wilbarger St
Vernon, TX 76384-3137
Phone (940) 691-8271

5400 Kell Blvd
Wichita Falls, TX 76310-1610
Phone (940) 691-8271

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01061129AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Jun 1, 2011 Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Jun 1, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Respiratory & Critical Care Consultants P C Internal Medicine Past Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

5400 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 689-2632

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: smalireddy14200@unitedregional.medalliesdirect.net
  • Direct secure messaging: srikar.malireddy@txo.ikm.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1255517561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101610",
            "telephone_number": "940-691-8271",
            "fax_number": "940-692-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIREDDY",
        "first_name": "SRIKAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061129A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061129",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7469",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L7469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00975255",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160931502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522490A",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200892730",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00478524",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000550635",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522490A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.