Sudha R Jogimahanti, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2223 Issued in TX

Practice address

9800 N Beach St Ste 300
Fort Worth, TX 76244-6187

Phone

(817) 890-9111

Fax

(866) 939-1308

NPI assigned

Sep 6, 2006

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lone Star Family Practice, PA

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1932703220
  Medicare reassignment NPD Authorized official
• Pulse Primary Care of Texas PLLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1033006986
  NPD
• Texas Digestive Disease Consultants PLLC

  • Gastroenterology Physician
  • Covington, LA
  • NPI 1295428415
  NPD (past)

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

• North Texas - Mca LLC

  dba Medical City Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1649373614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446187",
            "telephone_number": "817-890-9111",
            "fax_number": "866-939-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446187",
            "telephone_number": "817-890-9111",
            "fax_number": "866-939-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Basswood Blvd",
            "address_2": "Suite 650",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374437",
            "country_code": "US",
            "telephone_number": "817-485-0161",
            "fax_number": "817-485-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOGIMAHANTI",
        "first_name": "SUDHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Ellis Wheeler
• Ruby Joe, LVN
• Joenas Enterprises LLC
• Anusha V. Jogimahanti, MD
• Arjun Venkat Jogimahanti, MD
• Whitney A Johannessen, PNP
• Darla June Johannsen, LVN
• Landrie Michele Johansen, PT, MPT
• Matthew Johansen, RPH
• Rayann Johanson, LPC-A, M.ED.

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.