Individual provider Active NPI

Gireesh Reddy, DPM

  • Podiatrist
  • Plano, TX
National Provider Identifier
1366976748
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3016 Issued in TX
Practice address
4100 W 15TH St Ste 110
Plano, TX 75093-5826
Phone
(469) 573-3427
Fax
(469) 361-4361
NPI assigned
Apr 12, 2017
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Podiatrist 213E00000X 3016 TX Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 3016 TX

Addresses

Primary practice location

4100 W 15TH St Ste 110
Plano, TX 75093-5826

Mailing address

4100 W 15TH St Ste 110
Plano, TX 75093-5826
Phone (469) 573-3427

Other identifiers 2

IdentifierTypeStateIssuer
412982702OtherTXCSHCN
412982701MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626000705 TX Practitioner - Podiatry 2062784812 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Foot and Ankle Specialists PLLCGroup PAC ID 2961944319, 2 clinicians

Practice addresses (Care Compare)

4100 W 15TH St
Suite 110
Plano, TX 75093-5826
Phone (469) 573-3427

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue172
Removal of skin lesions1-10
Removal of nail tissue555
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3016TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Back Office Management Services LLC Podiatrist CurrentSince Jun 19, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2020 Accepting new patients
Back Office Management Services LLC Podiatrist CurrentSince Jun 19, 2024 Accepting new patients
HM Podiatry PA Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Restore Foot & Ankle Specialists PLLC Podiatrist CurrentSince Mar 3, 2024 Accepting new patients

Locations

4444 Heritage Trace Pkwy
Fort Worth, TX 76244

4444 Heritage Trace Pkwy
Ste 400
Fort Worth, TX 76244
Phone (817) 741-4000

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

6501 Precinct Line Rd
Ste 100
North Richlnd Hls, TX 76182
Phone (817) 503-0009

4100 W 15th St
Ste 110
Plano, TX 75093
Phone (469) 408-2530

701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

1940 E State Highway 114
Ste 150
Southlake, TX 76092
Phone (817) 424-3688

Organizations & group practices 7

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 1

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1366976748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "469-573-3427",
            "fax_number": "469-361-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "469-573-3427",
            "fax_number": "469-361-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GIREESH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3016",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "412982702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412982701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.