Individual provider Active NPI

Sridevi Reddy Pitta, MD

  • Interventional Cardiology Physician
  • Denton, TX
National Provider Identifier
1609072065
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
N5945 Issued in TX
Practice address
2505 Scripture St Ste 100
Denton, TX 76201-2481
Phone
(940) 320-2188
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X N5945 TX Primary
Interventional Cardiology Physician 207RI0011X 2016028752 MO

Addresses

Primary practice location

2505 Scripture St Ste 100
Denton, TX 76201-2481

Mailing address

3315 Unicorn Lake Blvd Ste 171
Denton, TX 76210-0127
Phone (940) 320-2188

Other practice location 1

3315 Unicorn Lake Blvd Ste 171
Denton, TX 76210-0127
Phone (940) 320-2188

Other identifiers 2

IdentifierTypeStateIssuer
200039416MedicaidMO
1609072065MedicaidMO

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
I20101104000238 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 8527133610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2505 Scripture St
Suite 100
Denton, TX 76201-2481
Phone (940) 320-2188

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Denton Hospital, Denton, TX, CCN 450634
  • North Texas Medical Center Hospital, Gainesville, TX, CCN 450090
  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893

Merit-based Incentive Payment System (MIPS)

Final score
92.01 of 100Reported as individual
Quality
89.94
Promoting interoperability
100
Improvement activities
40
Cost
73.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting96
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Nov 16, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 16, 2020 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cardiovascular Specialists PA PastSince Nov 1, 2020 Accepting new patients
Texas Health Physicians Group PastSince Nov 1, 2020 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2505 Scripture St
Ste 100
Denton, TX 76201
Phone (940) 320-2188

Interoperability endpoints

  • Direct secure messaging: spitta1664244@direct.texashealth.org

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 and National Provider Directory roles.

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1609072065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 UNICORN LAKE BLVD STE 171",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100127",
            "telephone_number": "940-320-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SCRIPTURE ST STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012481",
            "telephone_number": "940-320-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Unicorn Lake Blvd Ste 171",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762100127",
            "country_code": "US",
            "telephone_number": "940-320-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTA",
        "first_name": "SRIDEVI",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N5945",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2016028752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200039416",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609072065",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.