Individual provider Active NPI

Meera Shreedhara Vasudha, MD

  • Medical Oncology Physician
  • Greenville, TX
National Provider Identifier
1639388689
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
M5507 Issued in TX
Practice address
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone
(903) 408-5112
Fax
(903) 408-5124
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X M5507 TX
Medical Oncology Physician 207RX0202X M5507 TX Primary

Addresses

Primary practice location

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 6

IdentifierTypeStateIssuer
194503204MedicaidTX
194503203MedicaidTX
194503201MedicaidTX
194503274MedicaidTX
194503202MedicaidTX
P00745455OtherTXRAILROAD MEDICARE

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
I20071129000647 TX Practitioner - Medical OncologyPractitioner - Internal Medicine 9931298841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4215 Joe Ramsey Blvd
Greenville, TX 75401-7852
Phone (903) 408-5112

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5507TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Hematology & Oncology CurrentSince Aug 1, 2009 Accepting new patients
Texas Oncology PA Hematology & Oncology CurrentSince Aug 1, 2009 Accepting new patients
Texas Cancer Associates LLP Hematology & Oncology Past Accepting new patients
Texas Cancer Associates Past Accepting new patients

Locations

10425 N Central Expy
Dallas, TX 75231
Phone (214) 361-2025

8230 Walnut Hill Ln
Ste 706
Dallas, TX 75231
Phone (214) 739-3467

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: meera.shreedhara@txo.ikm.direct-ci.com

Organizations & group practices 4

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 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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1639388689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5112",
            "fax_number": "903-408-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREEDHARA VASUDHA",
        "first_name": "MEERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "M5507",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "M5507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194503204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194503203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194503201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194503274",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194503202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00745455",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.