NPIMap

Individual provider Active NPI

Prathusha Maduri

  • Physical Medicine & Rehabilitation Physician
  • Bedford, TX
National Provider Identifier
1467991034
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
U2255 Issued in TX
Practice address
2304 Highway 121
Bedford, TX 76021-5985
Phone
(214) 970-6817
Fax
(844) 803-4513
NPI assigned
Feb 16, 2017
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS021883 PA
Physical Medicine & Rehabilitation Physician 208100000X U2255 TX Primary

Addresses

Primary practice location

2304 Highway 121
Bedford, TX 76021-5985

Mailing address

2637 N 400 E # 164
North Ogden, UT 84414-2240
Phone (214) 970-6817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307002176 TX Practitioner - Physical Medicine and Rehabilitation 2668867656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Associates of Texas PLLCGroup PAC ID 0840565560, 7 clinicians

Practice addresses (Care Compare)

7777 Forest LN
BLDG E
Dallas, TX 75230-2571
Phone (214) 970-6817

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as virtual group
Quality
78.87
Improvement activities
40
Cost
39.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS021883PAMDPhysical Medicine & Rehabilitation Physician
U2255TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Associates of Texas PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2023 Accepting new patients
Encompass Health Rehabilitation Hospital of the Mid-Cities, LLC Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

2304 Highway 121
Bedford, TX 76021
Phone (817) 684-2000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Bldg E
Dallas, TX 75230

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1467991034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 N 400 E # 164",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142240",
            "telephone_number": "214-970-6817",
            "fax_number": "844-803-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215985",
            "telephone_number": "214-970-6817",
            "fax_number": "844-803-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADURI",
        "first_name": "PRATHUSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS021883",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "U2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.