Individual provider Active NPI

Thanmaya Gaddam Reddy, M.D.

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1265799332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
077899 Issued in GA
Practice address
1365 Clifton Rd NE BLDG B
Atlanta, GA 30322-1900
Phone
(404) 778-4615
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 077899 GA Primary
Urology Physician 208800000X 32625 AL

Addresses

Primary practice location

1365 Clifton Rd NE BLDG B
Atlanta, GA 30322-1900

Mailing address

1365 Clifton Road NE
Clinic Building B Suite B1400
Atlanta, GA 30322-1013
Phone (404) 778-4615

Other practice location 1

619 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-3065

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
I20220826001697 TX Practitioner - Urology 8729238514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite A230
Dallas, TX 75230-2568
Phone (972) 566-7765

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32625ALMDUrology Physician
077899GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas, PLLC Urology CurrentSince Sep 1, 2022 Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients

Locations

9900 N Central Expy
Ste 130
Dallas, TX 75231

7777 Forest Ln
Ste C565
Dallas, TX 75230
Phone (972) 566-7765

12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

4708 Alliance Blvd
Ste 835
Plano, TX 75093
Phone (972) 309-0005

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

6957 W Plano Pkwy
Ste 1300
Plano, TX 75093
Phone (972) 820-1400

Interoperability endpoints

  • Direct secure messaging: thanmaya.reddymd.p1@direct.urologyclinics.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265799332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON ROAD NE",
            "address_2": "CLINIC BUILDING B SUITE B1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE BLDG B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221900",
            "telephone_number": "404-778-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "205-934-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "THANMAYA",
        "middle_name": "GADDAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "077899",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "32625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.