Individual provider Active NPI

Asritha Srireddy, MD

  • Family Medicine Physician
  • College Station, TX
National Provider Identifier
1619257995
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT203183 Issued in PA
Practice address
4202 Conway CT
College Station, TX 77845-4305
Phone
(516) 816-7343
NPI assigned
Aug 18, 2011
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT203183 PA Primary
Family Medicine Physician 207Q00000X Q4297 TX

Addresses

Primary practice location

4202 Conway CT
College Station, TX 77845-4305

Mailing address

4202 Conway CT
College Station, TX 77845-4305
Phone (516) 816-7343

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
I20150810001770 TX Practitioner - Family PracticePractitioner - Internal Medicine 0547492902 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Ut Physicians Family Medicine CurrentSince Jun 17, 2017 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Aug 24, 2015 Accepting new patients
Ut Physicians CurrentSince Jun 17, 2017 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jul 1, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 24, 2015 Accepting new patients
Lonestar Pat Associates PA Family Medicine CurrentSince Sep 29, 2020 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients
Mother Frances Hospital Winnsboro Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

719 W Coke Rd
Ste 4
Winnsboro, TX 75494
Phone (903) 342-3760

Organizations & group practices 9

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 2

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1619257995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 CONWAY CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454305",
            "telephone_number": "516-816-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 CONWAY CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454305",
            "telephone_number": "516-816-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIREDDY",
        "first_name": "ASRITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT203183",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q4297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.