Individual provider Active NPI

Rajneesh D Reddy, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1285652586
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M1311 Issued in TX
Practice address
2919 Markum Drive
Ft. Worth, TX 76117
Phone
(817) 831-0321
Fax
(817) 831-3211
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M1311 TX Primary

Addresses

Primary practice location

2919 Markum Drive
Ft. Worth, TX 76117

Mailing address

2919 Markum Drive
Ft. Worth, TX 76117
Phone (817) 831-8159

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
I20061011000636 TX Practitioner - Family Practice 3173529393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
T and R Clinic a Professional AssociationGroup PAC ID 8325036320, 3 clinicians

Practice addresses (Care Compare)

2919 Markum Dr
Fort Worth, TX 76117-4004
Phone (817) 832-0321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T & R Clinic a Professional Association Family Medicine CurrentSince May 9, 2010 Accepting new patients

Locations

2919 Markum Dr
Haltom City, TX 76117
Phone (817) 831-0321

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCFABA/Endpoint/JCFABA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1285652586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-831-8159",
            "fax_number": "817-222-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MARKUM DRIVE",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-831-0321",
            "fax_number": "817-831-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAJNEESH",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.