Individual provider Active NPI

Neelima Paladugu, MD

  • Clinical Cardiac Electrophysiology Physician
  • Fort Worth, TX
National Provider Identifier
1518134329
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD60717761 Issued in WA
Practice address
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone
(817) 595-0050
Fax
(817) 770-0244
NPI assigned
May 12, 2008
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD60717761 WA Primary

Addresses

Primary practice location

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other practice location 1

1400 8th Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

Other identifiers 2

IdentifierTypeStateIssuer
1518134329MedicaidWA
P01780980OtherWARR PTAN WVH

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
I20160202000378 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 3678649282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1420 8TH Ave
Suite 103
Fort Worth, TX 76104-4138
Phone (317) 748-1987

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince May 14, 2020 Accepting new patients
Independent Cardiology Associates CurrentSince Jan 1, 2022 Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Dec 1, 2021 Accepting new patients
Cardiac Imaging Inc CurrentSince Jan 16, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 14, 2020 Accepting new patients

Locations

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

1420 8th Ave
Ste 103
Fort Worth, TX 76104
Phone (817) 922-2273

844 Pennsylvania Ave
Fort Worth, TX 76104
Phone (817) 336-4278

844 Pennsylvania Ave
Ste 110
Fort Worth, TX 76104
Phone (817) 336-4278

8195 Custer Rd
Ste 110
Frisco, TX 75035
Phone (469) 830-8835

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3341 Regent Blvd
Ste 130287
Irving, TX 75063

6750 N MacArthur Blvd
Ste 257
Irving, TX 75039
Phone (214) 501-5427

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

4510 Medical Center Dr
Ste 202
McKinney, TX 75069
Phone (214) 547-7557

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

300 N Highland Ave
Ste 365
Sherman, TX 75092
Phone (516) 721-7069

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGDJCD/Endpoint/AGDJCD

Organizations & group practices 5

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1518134329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "817-595-0050",
            "fax_number": "817-770-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-926-2544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALADUGU",
        "first_name": "NEELIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WA",
            "license": "MD60717761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518134329",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN WVH",
            "identifier": "P01780980",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.