Individual provider Active NPI

Sunthosh Madireddi, M.D.

  • Neuroradiology Physician
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1396169694
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
28853 Issued in NE
Practice address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone
(858) 442-7046
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 28853 NE
Student in an Organized Health Care Education/Training Program 390200000X
Neuroradiology Physician 2085N0700X 28853 NE Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (858) 442-7046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND, NM, CO, AZ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200421000901 TX Practitioner - Diagnostic Radiology 8921438623 Reassigns benefits to 14 organizations
I20220802000485 ND Practitioner - Diagnostic Radiology 8921438623 Reassigns benefits to 1 organization
I20230329000871 NM Practitioner - Diagnostic Radiology 8921438623 Reassigns benefits to 1 organization
I20250319000927 CO Practitioner - Diagnostic Radiology 8921438623 Reassigns benefits to 1 organization
I20250701002692 AZ Practitioner - Diagnostic Radiology 8921438623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

16822 Mossford
San Antonio, TX 78255-1307
Phone (866) 579-1110

2617 Harvard Ave
San Angelo, TX 76904-5311
Phone 71346135732008

3322 Yukon Straight
San Antonio, TX 78261-2595
Phone (832) 509-4076

3719 Coggeshall LN
San Antonio, TX 78257-5079
Phone (424) 290-8004

46 W Windward CV
The Woodlands, TX 77381-4267
Phone (970) 900-6856

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28853NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Feb 28, 2025 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Dec 1, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 28, 2020 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Dec 16, 2020 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Dec 16, 2023 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 17, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Neuroradiology CurrentSince Oct 27, 2021 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 22, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 22, 2022 Accepting new patients
Sierra Vista Hospital CurrentSince Mar 1, 2023 Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 15, 2020 Accepting new patients
Eagle Partners, PLLC Neuroradiology CurrentSince Aug 1, 2020 Accepting new patients
Yampa Valley Medical Center CurrentSince Mar 17, 2025 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Mar 1, 2020 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jun 23, 2020 Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Shelin Agrawal and Hyer PLLC Neuroradiology Past Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations (25 of 102)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

8850 E Pima Center Pkwy
Scottsdale, AZ 85258
Phone (480) 324-7231

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Interoperability endpoints

  • Direct secure messaging: smadireddi457451@direct.stlukeshealth.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 8

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1396169694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "858-442-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "858-442-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIREDDI",
        "first_name": "SUNTHOSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "28853",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NE",
            "license": "28853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.