Active NPI
Dayakar Kamjula Reddy, M.D.
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U5498
- Practice address
- 1301 Pennsylvania Ave
Fort Worth, TX 76104-2122 - Phone
- (817) 250-2000
- NPI assigned
- Nov 6, 2006
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U5498 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 242095 | NY | |
| Hospitalist Physician | 208M00000X | 242095 | NY | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 242095 | NY |
Addresses
Primary practice location
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Mailing address
6716 Palermo TRL
Lewisville, TX 75077-8505
Phone (607) 377-4573
Other practice location 1
602 Ivy St
Elmira, NY 14905-1646
Phone (607) 735-4633
Other practice location 2
600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-7770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02830106 | Medicaid | NY | |
| 103154200 | Medicaid | PA |
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
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1300 W Terrell Ave
Suite K230
Fort Worth, TX 76104-3104
Phone (817) 250-7240
314 W Main St
Lewisville, TX 75057-3866
Phone (972) 215-8885
Hospital & facility affiliations
- Aspen Healthcare Services Inc
- Aspen Hospice Care Inc
- Heart to Heart Hospice of Fort Worth, LLC
- Crossbridge Hospice
- Texas Health Presbyterian Hospital Denton
- Texas Health Harris Methodist Fort Worth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U5498 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Virtual Care | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Aspen Medical Home LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Texas Health Virtual Care | Internal Medicine | Current | Accepting new patients |
| Texas Health Presbyterian Hospital Denton | Past | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Past | Accepting new patients |
| Texas Health Harris Methodist Hospital Fort Worth | Past | Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Ny Acute Care Specialists PC | Hospitalist | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
1275 W Terrell Ave
Ste 200
Fort Worth, TX 76104
Phone (817) 250-7035
1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-1815
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
314 W Main St
Lewisville, TX 75057
Phone (972) 215-8885
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
- https://fhir4.healow.com/fhir/r4/BIDHDD/Endpoint/BIDHDD
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Crossbridge Hospice | Hospice | Contracted Managing Employee | Jun 16, 2025 |
| Aspen Hospice Care Inc | Hospice | Contracted Managing Employee | Apr 12, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Lewisville, TX
- NPI 1699074708
Contracted Managing Employee
-
dba Crossbridge Hospice
- Community Based Hospice Care Agency
- Irving, TX
- NPI 1043499684
Contracted Managing Employee
Organizations & group practices 12
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lewisville, TX
- NPI 1578315768
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
dba Texas Health Care at Home
- Internal Medicine Physician
- Dallas, TX
- NPI 1942951199
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1053767897
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
dba Texas Health Behavioral Health Video Visits
- Psychiatry Physician
- Mansfield, TX
- NPI 1003507542
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Denton, TX
- NPI 1003883158
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
-
- Hospitalist Physician
- Rome, NY
- NPI 1528377892
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lewisville, TX
- NPI 1033202197
-
- Community Based Hospice Care Agency
- Lewisville, TX
- NPI 1699074708
-
dba Crossbridge Hospice
- Community Based Hospice Care Agency
- Irving, TX
- NPI 1043499684
-
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1457495434
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Denton, TX
- NPI 1003883158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1417026675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6716 PALERMO TRL",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750778505",
"telephone_number": "607-377-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042122",
"telephone_number": "817-250-2000"
}
],
"practiceLocations": [
{
"address_1": "602 Ivy St",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149051646",
"country_code": "US",
"telephone_number": "607-735-4633",
"fax_number": "607-735-4628",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Roe Ave",
"address_purpose": "LOCATION",
"city": "Elmira",
"state": "NY",
"postal_code": "149051629",
"country_code": "US",
"telephone_number": "607-737-7770",
"fax_number": "607-271-3686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "DAYAKAR",
"middle_name": "KAMJULA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U5498",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "242095",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "242095",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NY",
"license": "242095",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02830106",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103154200",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.