Individual provider Active NPI

Madhukanth T. Reddy, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1356319990
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
S1900 Issued in TX
Practice address
6551 Harris Pkwy Ste 110
Fort Worth, TX 76132
Phone
(817) 370-3444
NPI assigned
Mar 9, 2006
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01057549A IN
Infectious Disease Physician 207RI0200X 01057549A IN
Hospitalist Physician 208M00000X 01057549A IN
Infectious Disease Physician 207RI0200X S1900 TX Primary

Addresses

Primary practice location

6551 Harris Pkwy Ste 110
Fort Worth, TX 76132

Mailing address

8528 Davis Blvd Site 134-359
North Richland Hills, TX 76182
Phone (817) 370-3444

Other identifiers 3

IdentifierTypeStateIssuer
200439870MedicaidIN
1356319990OtherTXNPI INDIVIDUAL
200439870AMedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108001209 TX Practitioner - Infectious Disease 3870682677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Consultants of Texas PLLCGroup PAC ID 4880026087, 2 clinicians

Practice addresses (Care Compare)

6551 Harris Pkwy
Suite 110
Fort Worth, TX 76132-6105
Phone (817) 370-3444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.4 of 100Reported as individual
Quality
88.12
Improvement activities
0
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1900TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Consultants of Texas PLLC Infectious Disease CurrentSince Oct 17, 2019 Accepting new patients

Locations

909 Southeast Pkwy
Ste 102
Azle, TX 76020
Phone (817) 370-3444

6551 Harris Pkwy
Ste 110
Fort Worth, TX 76132
Phone (817) 370-8833

6387B Camp Bowie Blvd
Ft Worth, TX 76116

8528 Davis Blvd
Ste 134359
North Richlnd Hls, TX 76182

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.

Hospital & facility affiliations 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1356319990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BLVD SITE 134-359",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76182",
            "telephone_number": "817-370-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-370-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MADHUKANTH",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01057549A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01057549A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01057549A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "S1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1356319990",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.