NPIMap

Individual provider Active NPI

Raghuram M Reddy, M.D.

  • Diagnostic Radiology Physician
  • Hurst, TX
National Provider Identifier
1659318038
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M4468 Issued in TX
Practice address
1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone
(817) 336-4638
Fax
(817) 336-7637
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 200101991 MO
Diagnostic Radiology Physician 2085R0202X 21171 OK
Diagnostic Radiology Physician 2085R0202X M4468 TX Primary

Addresses

Primary practice location

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109

Mailing address

1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone (817) 336-4638

Other identifiers 2

IdentifierTypeStateIssuer
1659318038MedicaidTX
P00379525OtherTXRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070221000295 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6002710910 Reassigns benefits to 3 organizations
I20251219003179 WI Practitioner - Diagnostic Radiology 6002710910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

406 Golden Oak CT
Fort Worth, TX 76108-9624
Phone (713) 461-3573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200101991MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 23, 2010 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Oct 1, 2006 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 23, 2010 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Organizations & group practices 7

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 7

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1659318038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 209",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "817-336-4638",
            "fax_number": "817-336-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 PRECINCT LINE RD STE 209",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543109",
            "telephone_number": "817-336-4638",
            "fax_number": "817-336-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAGHURAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "200101991",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "21171",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M4468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659318038",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00379525",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.