Sudharani Dikkala, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

P4043 Issued in TX

Practice address

1350 S Main St Ste 3200
Fort Worth, TX 76104-7669

Phone

(817) 702-8400

Fax

(817) 702-4671

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MO2 enrollments

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 2

Specialty

Nephrology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC Bluebonnet Home Dialysis Dialysis facility, Fort Worth, TX, CCN 742582
• USRC Bluebonnet Dialysis Dialysis facility, Fort Worth, TX, CCN 742575
• DaVita Central Fort Worth Dialysis Dialysis facility, Fort Worth, TX, CCN 672723
• JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score

96.38 of 100Reported as group

Quality

80.41

Promoting interoperability

100

Improvement activities

40

Cost

78.69

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment Care Compare group NPD
• Kidney Associates DFW LLC

  • Nephrology Physician
  • Grapevine, TX
  • NPI 1720732506
  Medicare reassignment NPD Authorized official
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  MO

  Medicare reassignment NPD

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

• Bainbridge Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
  • NPI 1699041152

  Dialysis facility

  Care Compare affiliation Name & address match
• Tarrant County Hospital District

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222
  Care Compare affiliation

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1275798019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S MAIN ST STE 3200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047669",
            "telephone_number": "817-702-8400",
            "fax_number": "817-702-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S MAIN ST STE 3200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047669",
            "telephone_number": "817-702-8400",
            "fax_number": "817-702-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 W Northwest Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760516988",
            "country_code": "US",
            "telephone_number": "817-886-5966",
            "fax_number": "817-934-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIKKALA",
        "first_name": "SUDHARANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD435024",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dignified Home Care for Seniors LLC
• Dignity Hospice Care Inc
• Chinaka Mary Dike
• Barry Dikes, MPT
• Korinne B. Dikes
• Recia Diann Dill, NP
• Shelbi Dillaha
• Allison Dillard, LPC
• Carrie Dillard, FNP-C
• David Brockman Dillard, PT, DPT

• Nephrology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.