Active NPI
Vidyasagar Gurram Reddy
- Emergency Medicine Physician
- Carthage, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L8915
- Practice address
- 409 Cottage Rd
Carthage, TX 75633-1466 - Phone
- (903) 253-2485
- NPI assigned
- May 20, 2006
- Last updated
- Nov 8, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L8915 | TX | Primary |
Addresses
Primary practice location
409 Cottage Rd
Carthage, TX 75633-1466
Mailing address
3411 Storey Lake Dr
Tyler, TX 75707-1761
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000935 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ess of South Texas LLC | Emergency Medicine | Current | Accepting new patients |
| Wellness & Care Group of Texas, Inc. | Current | Accepting new patients | |
| Ess of Fairfield LLC | Emergency Medicine | Current | Accepting new patients |
| Ess of Crockett, LLC | Emergency Medicine | Current | Accepting new patients |
| CMC Radiological Services PC | Past | Accepting new patients | |
| CMC Radiological Services PC | Past | Accepting new patients | |
| Wood Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
Locations
100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100
1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862
125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326
21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
22625 State Highway 249
Ste 450
Tomball, TX 77375
Phone (214) 506-1136
Interoperability endpoints
- fmcvreddy@yourcarecommunity.org
- vreddy355371@ahs.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Crockett, TX
- NPI 1649988635
-
- Emergency Medicine Physician
- Fairfield, TX
- NPI 1588132856
-
- Emergency Medicine Physician
- Liberty, TX
- NPI 1295128247
-
- General Practice Physician
- Plano, TX
- NPI 1487964870
-
- Emergency Medicine Physician
- Quitman, TX
- NPI 1427067560
-
dba St Vincents Catholic Medical Center
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1093851990
-
dba St Vincents Catholic Medical Center
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1285780502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1598719973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 STOREY LAKE DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757071761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 COTTAGE RD",
"city": "CARTHAGE",
"state": "TX",
"postal_code": "756331466",
"telephone_number": "903-253-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "VIDYASAGAR",
"middle_name": "GURRAM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L8915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, TX
- Premise Health of Texas Medical PA (LP-Carthage)
- Premise Health of Texas Medical, P.a (CareHere A Premise Health company eHealth Center- Carthage)
- Joyce Printers
- Laura Michelle Privett, LMT
- QV Urgent Care TX PLLC (QuickVisit Urgent Care)
- Renal Care Group Texas, Inc. (Carthage Dialysis Center)
- Tawhanna Faye Rice
- Robert G Callahan MD PMC
- Ariel Briana Roberts
- Iraj Roshan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.