Individual provider Active NPI

Jagadeshwar G Reddy, M.D.

  • Pulmonary Disease Physician
  • Dallas, TX
National Provider Identifier
1649250960
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P3233 Issued in TX
Practice address
1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176
Phone
(972) 388-1045
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X P3233 TX
Pulmonary Disease Physician 207RP1001X 01067092A IN
Internal Medicine Physician 207R00000X 47261 MN
Pulmonary Disease Physician 207RP1001X P3233 TX Primary

Addresses

Primary practice location

1222 N Bishop Ave Ste 300
Dallas, TX 75208-4176

Mailing address

PO Box 733382
Dallas, TX 75373-3382
Phone (214) 884-4700

Other identifiers 1

IdentifierTypeStateIssuer
307949301MedicaidTX

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
I20120906000367 TX Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2567423817 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians
Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians

Practice addresses (Care Compare)

1222 N Bishop Ave
Suite 300
Dallas, TX 75208-4176
Phone (214) 941-1353

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-4658

Hospital & facility affiliations

  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067092AINMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Oct 15, 2023 Accepting new patients
Medhealth Internal Medicine CurrentSince Oct 15, 2023 Accepting new patients
Laredo ICU, LLC CurrentSince Oct 21, 2023 Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Critical Care Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Physician Associates of Southwest Dallas Internal Medicine PastSince Oct 15, 2023 Accepting new patients

Locations

3450 W Wheatland Rd
Ste 340
Dallas, TX 75237
Phone (214) 941-4243

1222 N Bishop Ave
Ste 300
Dallas, TX 75208
Phone (214) 941-1353

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

Organizations & group practices 8

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 3

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1649250960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733382",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733382",
            "telephone_number": "214-884-4700",
            "fax_number": "214-884-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N BISHOP AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084176",
            "telephone_number": "972-388-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "JAGADESHWAR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "P3233",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01067092A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "47261",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P3233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307949301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.