Active NPI
Prasanthy Chinnareddy, M.D
- Pediatrics Physician
- Dallas, TX
National Provider Identifier
1316128234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N0698
- Practice address
- 9202 Elam Rd
Dallas, TX 75217-4151 - Phone
- (214) 266-1600
- NPI assigned
- Nov 19, 2007
- Last updated
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | N0698 | TX | Primary |
| Pediatrics Physician | 208000000X | MD2008-0552 | NM |
Addresses
Primary practice location
9202 Elam Rd
Dallas, TX 75217-4151
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Phone (214) 266-1600
Other names 1
- Dr. N/a N/a
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2008-0552 | NM | MD | Pediatrics Physician |
| N0698 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sai MVPP Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- pchinnareddy27310@direct.phhs.org
- pchinnareddy45658@direct.childrens.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1316128234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599",
"telephone_number": "214-266-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 ELAM RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752174151",
"telephone_number": "214-266-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINNAREDDY",
"first_name": "PRASANTHY",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N0698",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2008-0552",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"prefix": "DR.",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.