Sreecharan Reddy Mavuram, M.D

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

U5870 Issued in TX

Practice address

202 Baltimore
San Antonio, TX 78215-1907

Phone

(210) 299-8000

Fax

(210) 299-8099

NPI assigned

Sep 9, 2009

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, TX2 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

Specialty

Medical OncologyAlso: Hematology/Oncology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oncology San AntonioGroup PAC ID 7315262730, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154
• Fort Duncan Medical Center Hospital, Eagle Pass, TX, CCN 450092
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Oncology San Antonio

  • Hematology & Oncology Physician
  • San Antonio, TX
  • NPI 1790180370
  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Internal Medicine

  Medicare reassignment NPD
• Radiation Oncology of San Antonio, PA

  • Specialist
  • San Antonio, TX
  • NPI 1184789232
  NPD (past)

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

• Fort Duncan Medical Center LP

  dba Fort Duncan Regional Medical Center

  • General Acute Care Hospital
  • Eagle Pass, TX
  • NPI 1770579591
  Care Compare affiliation
• Val Verde Hospital Corporation

  dba Val Verde Regional Medical Center

  • General Acute Care Hospital
  • Del Rio, TX
  • NPI 1104830900
  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1396078291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BALTIMORE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151907",
            "telephone_number": "210-725-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BALTIMORE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151907",
            "telephone_number": "210-299-8000",
            "fax_number": "210-299-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19288 Stone Oak Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583222",
            "country_code": "US",
            "telephone_number": "210-299-8099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Zamora Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788525485",
            "country_code": "US",
            "telephone_number": "210-299-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVURAM",
        "first_name": "SREECHARAN REDDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "41162",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009020450",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009020450",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "U5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maverick County Hospital District (San Antonio West Nursing and Rehabilitation)
• Amy L Maverick, MD
• Kenneth J Maverick, M.D.
• Isabella Mavigliano
• Meher Sindhoora Mavuram, M.D.
• Gregory D Maxey, LPC
• Melissa Jane Maxie-Hall
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxmed Healthcare, Inc

• Medical Oncology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.