Individual provider Active NPI

Naga Sai Venkata Hanumantha Rao Madhavapeddi, M.D

  • Sports Medicine (Family Medicine) Physician
  • Flower Mound, TX
National Provider Identifier
1467815043
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
R4269 Issued in TX
Practice address
3020 Corporate CT Ste 400
Flower Mound, TX 75028-5617
Phone
(817) 668-3222
Fax
(817) 668-3200
NPI assigned
Apr 1, 2016
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X R4269 TX
Sports Medicine (Family Medicine) Physician 207QS0010X R4269 TX Primary

Addresses

Primary practice location

3020 Corporate CT Ste 400
Flower Mound, TX 75028-5617

Mailing address

3020 Corporate CT Ste 400
Flower Mound, TX 75028-5617
Phone (817) 668-3222

Other practice location 1

7101 Custer Rd Ste 600
Frisco, TX 75035-7270
Phone (817) 668-3222

Other practice location 2

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone (817) 668-3222

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
I20191223001188 TX Practitioner - Family PracticePractitioner - Sports Medicine 0446508121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3020 Corporate CT
Suite 400
Flower Mound, TX 75028-5617
Phone (817) 668-3222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4269TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Sports Medicine PLLC Sports Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

3020 Corporate Ct
Ste 400
Flower Mound, TX 75028
Phone (817) 668-3222

1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600

Interoperability endpoints

  • Direct secure messaging: naga.sai.venkata.madhavapeddi.1@29455.direct.athenahealth.com
  • Direct secure messaging: sai.madhavapeddi.1@17949.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1467815043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CORPORATE CT STE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285617",
            "telephone_number": "817-668-3222",
            "fax_number": "817-668-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CORPORATE CT STE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285617",
            "telephone_number": "817-668-3222",
            "fax_number": "817-668-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Custer Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750357270",
            "country_code": "US",
            "telephone_number": "817-668-3222",
            "fax_number": "817-668-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1023 Lipscomb St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043102",
            "country_code": "US",
            "telephone_number": "817-668-3222",
            "fax_number": "817-668-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADHAVAPEDDI",
        "first_name": "NAGA SAI VENKATA",
        "middle_name": "HANUMANTHA RAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4269",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "R4269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.