Active NPI
Kishori Venkata Laxmi Somyreddy, M.D.
- Specialist
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R9692
- Practice address
- 1110 Cottonwood LN Ste 205
Irving, TX 75038-6111 - Phone
- (214) 727-8900
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 14852 | NH | |
| Specialist | 174400000X | R9692 | TX | Primary |
Addresses
Primary practice location
1110 Cottonwood LN Ste 205
Irving, TX 75038-6111
Mailing address
1110 Cottonwood LN Ste 205
Irving, TX 75038-6111
Phone (214) 727-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209662 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ShareFile | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Cottonwood LN
Suite 205
Irving, TX 75038-6111
Phone (214) 727-8900
Hospital & facility affiliations
- Baylor Scott & White Medical Center at Irving
- Baylor Scott & White Institute for Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14852 | NH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Texas, PLLC | Specialist | Current | Accepting new patients |
Locations
1110 Cottonwood Ln
Ste 205
Irving, TX 75038
Phone (214) 727-8900
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 and National Provider Directory roles.
-
- Specialist
- Irving, TX
- NPI 1477172013
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1407073216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 COTTONWOOD LN STE 205",
"city": "IRVING",
"state": "TX",
"postal_code": "750386111",
"telephone_number": "214-727-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 COTTONWOOD LN STE 205",
"city": "IRVING",
"state": "TX",
"postal_code": "750386111",
"telephone_number": "214-727-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMYREDDY",
"first_name": "KISHORI",
"middle_name": "VENKATA LAXMI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NH",
"license": "14852",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "R9692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209662",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ShareFile",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1110 Cottonwood Ln Ste 205",
"city": "Irving",
"state": "TX",
"country_code": "US",
"postal_code": "750386111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.