Active NPI
Rajanarender Reddy Cholleti, M.D., F.A.C.C.
- Cardiovascular Disease Physician
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- L0089
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0086GP | Other | TX | BCBS |
| 040329702 | Medicaid | TX | |
| 7827163 | Other | TX | AETNA |
| 90116910 | Other | TX | PACIFICARE |
| 10030775 | Other | TX | AMERIGROUP |
| 110224533 | Other | TX | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209133 | NY | MD | Specialist |
| L0089 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajanarender R. Cholleti, MD PA | Specialist | Current | 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
- https://fhir4.healow.com/fhir/r4/EGICCD/Endpoint/EGICCD
- 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.
-
- Specialist
- Burleson, TX
- NPI 1750405015
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.