Organization Active NPI

New Braunfels OB GYN PA

  • Obstetrics & Gynecology Physician
  • New Braunfels, TX
National Provider Identifier
1346421807
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8486 Issued in TX
Legal business name
NEW BRAUNFELS OB GYN PA
Practice address
2115 Stephens PL
Suite 1210
New Braunfels, TX 78130-2132
Phone
(830) 626-6810
Fax
(830) 629-5001
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Dr. Nagakrishna Reddy, MDNPI 1841362233
Title
President
Phone
(830) 626-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L8486 TX Primary

Addresses

Primary practice location

2115 Stephens PL
Suite 1210
New Braunfels, TX 78130-2132

Mailing address

2115 Stephens PL
Suite 1210
New Braunfels, TX 78130-2132
Phone (830) 626-6810

Other identifiers 3

IdentifierTypeStateIssuer
168987901OtherTXCOMMUNITY FIRST MEDICAID
0046MAOtherTXBCBS
168987901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041021000896 TX Part B Supplier - Clinic/Group Practice 9032170105 Receives reassigned benefits from 2 practitioners
Practice locations: New Braunfels, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1035870New Braunfels OB/GYN2115 Stephens Place, Ste 1210, New Braunfels, TX 78130Provider-performed microscopyJan 12, 2027

National Provider Directory

National Provider Directory

Locations

2115 Stephens Pl
Ste 1210
New Braunfels, TX 78130
Phone (830) 626-6810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19141/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1346421807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL",
            "address_2": "SUITE 1210",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302132",
            "telephone_number": "830-626-6810",
            "fax_number": "830-629-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STEPHENS PL",
            "address_2": "SUITE 1210",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302132",
            "telephone_number": "830-626-6810",
            "fax_number": "830-629-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NAGAKRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-626-6810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST MEDICAID",
            "identifier": "168987901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046MA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168987901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.