Individual provider Active NPI

Srinivasa A Reddy, MD

  • Interventional Cardiology Physician
  • Denison, TX
National Provider Identifier
1336145333
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
L2091 Issued in TX
Practice address
5026 Pool Road
Denison, TX 75020-4595
Phone
(903) 465-3624
Fax
(903) 465-3973
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2091 TX
Cardiovascular Disease Physician 207RC0000X L2091 TX
Interventional Cardiology Physician 207RI0011X L2091 TX Primary

Addresses

Primary practice location

5026 Pool Road
Denison, TX 75020-4595

Mailing address

5012 S US Highway 75 Ste 300
Att.Billing
Denison, TX 75020-4589
Phone (903) 465-3624

Other identifiers 3

IdentifierTypeStateIssuer
22577OtherOKMEDICAL LICENSE
181383403MedicaidTX
200032000AMedicaidOK

Other names 1

  • Dr. Srinivas Reddy Alla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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

Enrollment IDStateProvider typePAC IDDetails
I20081204000691 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7719048099 Reassigns benefits to 1 organization
I20090722000408 OK Practitioner - Interventional CardiologyPractitioner - Cardiac SurgeryPractitioner - Peripheral Vascular DiseasePractitioner - Cardiovascular Disease (Cardiology) 7719048099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiac Surgery, Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

1727 Chuckwa Dr
Suite 400
Durant, OK 74701-2151
Phone (580) 924-7096

2201 N Hwy 121
Bonham, TX 75418-2345
Phone (903) 583-3111

5012 S US Hwy 75
Suite 275
Denison, TX 75020-4632
Phone (903) 416-6550

5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4030

5026 Pool Rd
Denison, TX 75020-4595
Phone (903) 465-3624

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
57.18
Promoting interoperability
86
Improvement activities
40
Cost
70.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Specialty Physicians Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Uhs of Texoma, Inc Cardiovascular Disease Past Accepting new patients
Texomacare Internal Medicine Past Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients
Texoma Heart Group, PA PastSince Aug 15, 1998 Accepting new patients

Locations

1727 Chuckwa Dr
Ste 400
Durant, OK 74701
Phone (580) 924-7096

2201 N State Highway 121
Bonham, TX 75418
Phone (903) 583-3111

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

5026 Pool Rd
Denison, TX 75020
Phone (903) 465-3624

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

Interoperability endpoints

  • Direct secure messaging: srinivas.reddy@tcsp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1336145333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATT.BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-465-3624",
            "fax_number": "903-465-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 POOL ROAD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204595",
            "telephone_number": "903-465-3624",
            "fax_number": "903-465-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRINIVASA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2091",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L2091",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "22577",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181383403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRINIVAS",
            "last_name": "ALLA",
            "middle_name": "REDDY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.