Active NPI
Gaddum Duemani Reddy, M.D., PH.D.
- Neurological Surgery Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- BP10034726
- Practice address
- 515 W Mayfield Rd Ste 407
Arlington, TX 76014-2085 - Phone
- (713) 392-7289
- NPI assigned
- Jan 20, 2010
- Last updated
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | BP10034726 | TX | Primary |
Addresses
Primary practice location
515 W Mayfield Rd Ste 407
Arlington, TX 76014-2085
Mailing address
5024 Breezewind LN
Fort Worth, TX 76123-6009
Phone (713) 392-7289
Other practice location 1
3141 E Broad St Ste 335
Mansfield, TX 76063-6426
Phone (682) 219-0357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (682) 219-0357
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 67 |
| Laminectomy or laminotomy (partial removal of spine bones) | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10034726 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates of North Texas PLLC | Neurological Surgery | Current | Accepting new patients |
| Neurosurgical Associates of Central New York, LLP | Current | Accepting new patients | |
| Upstate Neurosurgery LLP | Neurological Surgery | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Cardiology Specialists of North Texas, PLLC | Past | Accepting new patients |
Locations
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
4900 Broad Rd
Ste 1352
Syracuse, NY 13215
Phone (315) 464-4470
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
515 W Mayfield Rd
Ste 407
Arlington, TX 76014
Phone (682) 219-0357
909 9th Ave
Ste 201
Fort Worth, TX 76104
Phone (214) 575-5885
3141 E Broad St
Ste 335
Mansfield, TX 76063
Phone (682) 219-0357
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.
-
- Neurological Surgery Physician
- Fort Worth, TX
- NPI 1053744540
-
- Neurological Surgery Physician
- Syracuse, NY
- NPI 1497788574
-
- Durable Medical Equipment & Medical Supplies
- Syracuse, NY
- NPI 1346384435
-
- Interventional Cardiology Physician
- Dallas, TX
- NPI 1689984585
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Arlington
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
dba Ennis Regional Medical Center
- General Acute Care Hospital
- Ennis, TX
- NPI 1700805678
-
dba Medical City Weatherford
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1578894267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 BREEZEWIND LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761236009",
"telephone_number": "713-392-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W MAYFIELD RD STE 407",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142085",
"telephone_number": "713-392-7289"
}
],
"practiceLocations": [
{
"address_1": "3141 E Broad St Ste 335",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760636426",
"country_code": "US",
"telephone_number": "682-219-0357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "GADDUM",
"middle_name": "DUEMANI",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "BP10034726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.