Individual provider Active NPI

Narendra Duddyala

  • Clinical Cardiac Electrophysiology Physician
  • Abilene, TX
National Provider Identifier
1467680967
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
S7205 Issued in TX
Practice address
1201 N 18TH St
Abilene, TX 79601-2932
Phone
(325) 793-3100
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X S7205 TX Primary
Cardiovascular Disease Physician 207RC0000X 50432 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 306364 LA

Addresses

Primary practice location

1201 N 18TH St
Abilene, TX 79601-2932

Mailing address

3720 77TH St
Apt# 2F
Jackson Heights, NY 11372-6630
Phone (718) 505-1952

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
I20201119001153 TX Practitioner - Cardiac Electrophysiology 4880909555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50432AZMDCardiovascular Disease Physician
306364LAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Healthcare System LLC CurrentSince Nov 1, 2018 Accepting new patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network CurrentSince Jan 4, 2021 Accepting new patients
Hendrick Provider Network CurrentSince Jan 4, 2021 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Aug 1, 2017 Accepting new patients
Rapides Healthcare System, LLC CurrentSince Nov 1, 2018 Accepting new patients
Rapides Healthcare System, LLC Current Accepting new patients

Locations

201 4th St
Ste 3F
Alexandria, LA 71301
Phone (318) 625-4149

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1501 Kings Hwy
Rm 1201
Shreveport, LA 71103
Phone (318) 675-4881

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

Interoperability endpoints

  • Direct secure messaging: narendra.duddyala.1@21794.direct.athenahealth.com
  • Direct secure messaging: narendraduddyala@hmc.allscriptsdirect.net

Organizations & group practices 7

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1467680967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 77TH ST",
            "address_2": "APT# 2F",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726630",
            "telephone_number": "718-505-1952",
            "fax_number": "718-505-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDYALA",
        "first_name": "NARENDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "S7205",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "50432",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "LA",
            "license": "306364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.