Individual provider Active NPI

Anuradha Gurram, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1295547172
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1182278 Issued in TX
Practice address
10423 State Highway 151 Ste 105
San Antonio, TX 78251-4767
Phone
(210) 876-1451
Fax
(210) 876-1761
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1182278 TX Primary

Addresses

Primary practice location

10423 State Highway 151 Ste 105
San Antonio, TX 78251-4767

Mailing address

12881 N Ih 35
Live Oak, TX 78233-2966
Phone (210) 742-6555

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328003165 TX Practitioner - Nurse Practitioner 5496278566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Mar 24, 2025 Accepting new patients
Complete Care Partners LLC PastSince Jun 15, 2025 Accepting new patients
Carefront Medical Group, PLLC PastSince Mar 24, 2025 Accepting new patients

Locations

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

10423 State Highway 151
Ste 105
San Antonio, TX 78251
Phone (210) 876-1451

4926 Golden Quail
Ste 104
San Antonio, TX 78240
Phone (210) 876-1451

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillside Primary Care PLLC 49 clinicians

Practice addresses (Care Compare)

4926 Golden Quail
Suite 104
San Antonio, TX 78240-1767
Phone (210) 742-6555

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1295547172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 STATE HIGHWAY 151 STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514767",
            "telephone_number": "210-876-1451",
            "fax_number": "210-876-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURRAM",
        "first_name": "ANURADHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1182278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.