Sankar Pemmaraju, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

K8811 Issued in TX

Practice address

6904 Peters Path
Colleyville, TX 76034-6655

Phone

(817) 488-9874

Fax

(817) 488-2865

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Center for Neurological Disorders, PA

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1770509234
  NPD (past)
• University of North Texas Health Science Center at Fort Worth

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fort Worth, TX
  • NPI 1376645564
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1487663282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 PETERS PATH",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346655",
            "telephone_number": "817-488-9874",
            "fax_number": "817-488-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 PETERS PATH",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346655",
            "telephone_number": "817-488-9874",
            "fax_number": "817-488-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMMARAJU",
        "first_name": "SANKAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "K8811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0034KA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K8791",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry of Colleyville
• Pediatric Dentistry of Colleyville, P.a.
• Pei Yih Bryan Tzeng PLLC
• Peikar Orthodontics PLLC
• Pelican Medical Marketing LLC
• Kendall Peterson, M.S CCC-SLP
• Pham Pena PLLC
• Fortsmith Pham, O.D.
• Khanh Phan, D.D.S.
• Justus Varghese Philip, M.D.

• Physical Medicine & Rehabilitation Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.