Individual provider Active NPI

Amrutha Immadi, MD, MBA

  • Obstetrics & Gynecology Physician
  • Frisco, TX
National Provider Identifier
1619617354
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
W3814 Issued in TX
Practice address
5575 Frisco Square Blvd Ste 380
Frisco, TX 75034-3309
Phone
(469) 591-6700
Fax
(940) 320-1220
NPI assigned
Mar 30, 2022
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X W3814 TX Primary

Addresses

Primary practice location

5575 Frisco Square Blvd Ste 380
Frisco, TX 75034-3309

Mailing address

5575 Frisco Square Blvd Ste 380
Frisco, TX 75034-3309
Phone (469) 591-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology CurrentSince Sep 15, 2026 Accepting new patients
Caring for Women PA Obstetrics & Gynecology PastSince Sep 15, 2026 Accepting new patients

Locations

5575 Frisco Square Blvd
Ste 380
Frisco, TX 75034

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1619617354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 380",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "469-591-6700",
            "fax_number": "940-320-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 FRISCO SQUARE BLVD STE 380",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343309",
            "telephone_number": "469-591-6700",
            "fax_number": "940-320-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMADI",
        "first_name": "AMRUTHA",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "W3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.