Active NPI
Prathima Nagireddy, M.D
- Public Health & General Preventive Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- T4011
- Practice address
- 400 N Beach St Ste 104
Fort Worth, TX 76111-7070 - Phone
- (817) 831-1750
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 036-148418 | IL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 148418 | IL | |
| General Practice Physician | 208D00000X | 75992 | GA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | T4011 | TX | Primary |
Addresses
Primary practice location
400 N Beach St Ste 104
Fort Worth, TX 76111-7070
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-148418 | IL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 148418 | IL | MD | Public Health & General Preventive Medicine Physician |
| T4011 | TX | MD | Public Health & General Preventive Medicine Physician |
| 75992 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| AIDS Healthcare Foundation Texas Inc | Current | Accepting new patients | |
| AIDS Healthcare Foundation Texas Inc | Past | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
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 and National Provider Directory roles.
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-
- Urgent Care Clinic/Center
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-
- Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1306133731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BEACH ST STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761117070",
"telephone_number": "817-831-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGIREDDY",
"first_name": "PRATHIMA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IL",
"license": "036-148418",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "IL",
"license": "148418",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "75992",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "T4011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.