Individual provider Active NPI

Rajanarender Reddy Cholleti, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Burleson, TX
National Provider Identifier
1427012913
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L0089 Issued in TX
Practice address
121 NW Ellison St Ste 105
Burleson, TX 76028-4739
Phone
(817) 426-4700
Fax
(817) 426-4737
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 209133 NY
Cardiovascular Disease Physician 207RC0000X L0089 TX Primary

Addresses

Primary practice location

121 NW Ellison St Ste 105
Burleson, TX 76028-4739

Mailing address

121 NW Ellison St Ste 105
Burleson, TX 76028-4739
Phone (817) 426-4700

Other practice location 1

1400 8th Ave
Fort Worth, TX 76104-4110
Phone (817) 927-6224

Other identifiers 6

IdentifierTypeStateIssuer
0086GPOtherTXBCBS
040329702MedicaidTX
7827163OtherTXAETNA
90116910OtherTXPACIFICARE
10030775OtherTXAMERIGROUP
110224533OtherTXRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcholleti459744@direct.sw.org Direct

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
I20040507000691 TX Practitioner - Cardiovascular Disease (Cardiology) 0648269456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 NW Ellison St
Suite 105
Burleson, TX 76028-4781
Phone (817) 426-4700

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209133NYMDSpecialist
L0089TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajanarender R. Cholleti, MD PA Specialist CurrentSince Dec 28, 2011 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

121 NW Ellison St
Ste 105
Burleson, TX 76028
Phone (817) 426-4700

1161 SW Wilshire Blvd
Ste 115
Burleson, TX 76028
Phone (817) 426-4700

101 NW Ellison St
Ste 105
Burleson, TX 76028
Phone (817) 426-4700

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGICCD/Endpoint/EGICCD
  • Direct secure messaging: rcholleti459744@direct.sw.org

Organizations & group practices 2

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 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1427012913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NW ELLISON ST STE 105",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284739",
            "telephone_number": "817-426-4700",
            "fax_number": "817-426-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW ELLISON ST STE 105",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284739",
            "telephone_number": "817-426-4700",
            "fax_number": "817-426-4737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-927-6224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOLLETI",
        "first_name": "RAJANARENDER",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "209133",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L0089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086GP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040329702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7827163",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "90116910",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10030775",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110224533",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcholleti459744@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 8th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.