Individual provider Active NPI

Padma Pagadi Reddy, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1396779823
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9866 Issued in TX
Practice address
825 E Rundberg LN
Suite B-1
Austin, TX 78753-4808
Phone
(512) 978-9600
Fax
(512) 978-9601
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9866 TX Primary

Addresses

Primary practice location

825 E Rundberg LN
Suite B-1
Austin, TX 78753-4808

Mailing address

825 E Rundberg LN
Suite B1
Austin, TX 78753-4808
Phone (512) 978-9600

Other identifiers 1

IdentifierTypeStateIssuer
L9866OtherTXSTATE MEDICAL LICENSE

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
I20050203000173 TX Practitioner - Family Practice 0840241295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9800

825 E Rundberg LN
Suite B1
Austin, TX 78753-4860
Phone (512) 978-9600

9411 N Lamar Blvd
Suite 120
Austin, TX 78753-4179
Phone (512) 978-8994

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Feb 4, 2025 Accepting new patients
Central Texas Community Health Centers Family Medicine CurrentSince Feb 4, 2025 Accepting new patients
Conroe Clinic Corporation Past Accepting new patients
Central Texas Community Health Centers Past Accepting new patients
Hillcroft Medihealth Associates PA Family Medicine Past Accepting new patients
Conroe Medihealth Associates PA Family Medicine Past Accepting new patients

Locations

7112 Ed Bluestein Blvd
Ste 100
Austin, TX 78723

6633 E Highway 290
Ste 100
Austin, TX 78723
Phone (682) 800-3163

825 E Rundberg Ln
Ste B1
Austin, TX 78753
Phone (512) 978-9600

1705 E 11th St
Austin, TX 78702
Phone (512) 978-8400

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

2529 S 1st St
Austin, TX 78704
Phone (512) 972-4722

6425 S Interstate 35
Ste 100
Austin, TX 78744

9411 N Lamar Blvd
Ste 120
Austin, TX 78753
Phone (512) 583-9679

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

7050 Elroy Rd
Del Valle, TX 78617
Phone (512) 978-9760

14008 Shadowglen Blvd
Ste 302
Manor, TX 78653
Phone (512) 445-4800

2700 W Pecan St
Ste 450
Pflugerville, TX 78660
Phone (512) 978-9213

1201 S Interstate 35
Ste 303
Round Rock, TX 78664

Organizations & group practices 6

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.

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1396779823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E RUNDBERG LN",
            "address_2": "SUITE B1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534808",
            "telephone_number": "512-978-9600",
            "fax_number": "512-978-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E RUNDBERG LN",
            "address_2": "SUITE B-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534808",
            "telephone_number": "512-978-9600",
            "fax_number": "512-978-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PADMA",
        "middle_name": "PAGADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "L9866",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.