Active NPI
Mythili Paladugu, MD
- Anesthesiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M6326
- Practice address
- 851 W Terrell Ave
Fort Worth, TX 76104-3161 - Phone
- (817) 332-8346
- Fax
- (817) 332-1723
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | M6326 | TX | |
| Anesthesiology Physician | 207L00000X | M6326 | TX | Primary |
Addresses
Primary practice location
851 W Terrell Ave
Fort Worth, TX 76104-3161
Mailing address
PO Box 33434
Fort Worth, TX 76162-3434
Phone (817) 332-8346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197922103 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
851 W Terrell Ave
Fort Worth, TX 76104-3161
Phone 8173328346111
Hospital & facility affiliations
- Texas Health Harris Methodist Fort Worth
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.6 of 100
- Quality
- 98.3
- Improvement activities
- 40
- Cost
- 80.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular and Vein Center PA | Current | Accepting new patients | |
| Roswell Clinic Corp | Past | Accepting new patients |
Locations
6100 Harris Pkwy
Ste 270
Fort Worth, TX 76132
Phone (817) 336-6012
1325 Pennsylvania Ave
Ste 440
Fort Worth, TX 76104
Phone (817) 685-4485
8704 Medical City Way
Fort Worth, TX 76177
Phone (817) 332-8346
851 W Terrell Ave
Ft Worth, TX 76104
Phone (817) 332-8346
150 River North Blvd
Stephenville, TX 76401
Phone (254) 965-9729
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJGAA
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 and National Provider Directory roles.
-
- Vascular Surgery Physician
- Fort Worth, TX
- NPI 1013173764
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1528139060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33434",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761623434",
"telephone_number": "817-332-8346",
"fax_number": "817-332-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 W TERRELL AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043161",
"telephone_number": "817-332-8346",
"fax_number": "817-332-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALADUGU",
"first_name": "MYTHILI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2024-01-30",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "TX",
"license": "M6326",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "M6326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197922103",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.