Individual provider Active NPI

Muralidhar Reddy Yerramadha, MD

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1609184027
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5912 Issued in TX
Practice address
560 Blossom St Ste C
Webster, TX 77598-4237
Phone
(832) 221-2321
Fax
(832) 201-0411
NPI assigned
Sep 20, 2010
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P5912 TX Primary

Addresses

Primary practice location

560 Blossom St Ste C
Webster, TX 77598-4237

Mailing address

1514 Frost Creek LN
Friendswood, TX 77546-4682
Phone (832) 221-2321

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
I20130722000177 TX Practitioner - Internal Medicine 9133377740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Inpatient Physicians PLLCGroup PAC ID 4183907652, 32 clinicians
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

1322 Space Park Dr
Suite 100
Houston, TX 77058-3400
Phone (224) 238-9801

4645 Sweetwater Blvd
Suite 200
Sugar Land, TX 77479-3016
Phone (281) 565-1112

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5912TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Jun 20, 2021 Accepting new patients
Mr Yerramadha MD Internal Medicine CurrentSince Dec 3, 2018 Accepting new patients
Vanguard Inpatient Physicians, PLLC Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Jun 20, 2021 Accepting new patients
Space City Associates of Nephrology, PA PastSince Aug 1, 2016 Accepting new patients
Houston Methodist St. John Hospital Past Accepting new patients

Locations

1322 Space Park Dr
Ste 100
Houston, TX 77058
Phone (224) 238-9801

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

560 Blossom St
Ste C
Webster, TX 77598
Phone (832) 221-2321

Interoperability endpoints

  • Direct secure messaging: muralidhar.yerramadha.1@13711.direct.athenahealth.com
  • Direct secure messaging: myerramadha468887@direct.stlukeshealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Anchor HospiceHouston, TX, CCN 741583 Hospice Contracted Managing Employee Sep 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1609184027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 FROST CREEK LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464682",
            "telephone_number": "832-221-2321",
            "fax_number": "832-201-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BLOSSOM ST STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984237",
            "telephone_number": "832-221-2321",
            "fax_number": "832-201-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERRAMADHA",
        "first_name": "MURALIDHAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.