Individual provider Active NPI

Srinivasa Rao Badugu, M.D

  • Pediatric Cardiology Physician
  • El Paso, TX
National Provider Identifier
1578701710
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
P9300 Issued in TX
Practice address
1810 Murchison Dr Ste 230
El Paso, TX 79902-2906
Phone
(915) 275-1510
Fax
(915) 745-1634
NPI assigned
Jan 26, 2009
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 NY
Pediatrics Physician 208000000X ME105496 FL
Pediatric Cardiology Physician 2080P0202X P9300 TX Primary

Addresses

Primary practice location

1810 Murchison Dr Ste 230
El Paso, TX 79902-2906

Mailing address

448 Majestic Mountain Dr
El Paso, TX 79912-6301
Phone (646) 639-3471

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
I20141124002168 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists) 7810130911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology), Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1810 Murchison Dr
El Paso, TX 79902-2930
Phone (361) 694-5086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Hospitals Limited CurrentSince Nov 1, 2025 Accepting new patients
Tenet Hospitals Limited CurrentSince Nov 1, 2025 Accepting new patients
Children's Physician Services of South Texas CurrentSince Apr 1, 2024 Accepting new patients
Children's Physician Services of South Texas Pediatrics CurrentSince Apr 1, 2024 Accepting new patients
Children's Physician Services of South Texas Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

1810 Murchison Dr
El Paso, TX 79902
Phone (915) 521-2485

1810 Murchison Dr
Ste 230
El Paso, TX 79902
Phone (915) 545-2679

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

2001 N Oregon St
#M
El Paso, TX 79902
Phone (915) 577-6011

Organizations & group practices 6

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1578701710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 MAJESTIC MOUNTAIN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126301",
            "telephone_number": "646-639-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MURCHISON DR STE 230",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022906",
            "telephone_number": "915-275-1510",
            "fax_number": "915-745-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADUGU",
        "first_name": "SRINIVASA RAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105496",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "P9300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.