Organization Active NPI

Reliance MD PLLC

  • Internal Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1447926134
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RELIANCE MD PLLC
Practice address
4931 Long Prairie Rd
Flower Mound, TX 75028-2786
Phone
(972) 836-9859
NPI assigned
Aug 21, 2021
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Neelima Narreddy, MDNPI 1063606283
Title
Partner
Phone
(972) 869-1502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4931 Long Prairie Rd
Flower Mound, TX 75028-2786

Mailing address

2650 FM 407 E Ste 145405
Bartonville, TX 76226-7012
Phone (972) 836-9859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106001438 TX Part B Supplier - Clinic/Group Practice 0547651275 Receives reassigned benefits from 2 practitioners
Practice locations: Flower Mound, TX

National Provider Directory

National Provider Directory

Locations

2650 FM 407 E
Ste 145405
Bartonville, TX 76226

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1447926134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 FM 407 E STE 145405",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762267012",
            "telephone_number": "972-836-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282786",
            "telephone_number": "972-836-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "NARREDDY",
        "authorized_official_first_name": "NEELIMA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-869-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.