Individual provider Active NPI

Guduru Ramana Reddy, MD

  • Cardiovascular Disease Physician
  • Weatherford, TX
National Provider Identifier
1659489730
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G2824 Issued in TX
Practice address
2614 E Bankhead Hwy
Weatherford, TX 76087-9558
Phone
(817) 341-8646
Fax
(817) 341-7270
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G2824 TX Primary
Interventional Cardiology Physician 207RI0011X G2824 TX

Addresses

Primary practice location

2614 E Bankhead Hwy
Weatherford, TX 76087-9558

Mailing address

2614 E Bankhead Hwy
Weatherford, TX 76087-9558
Phone (817) 341-8646

Other practice location 1

1400 8th Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

Other identifiers 2

IdentifierTypeStateIssuer
137429002MedicaidTX
8A0420OtherTXBLUE CROSS BLUE SHIELD

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
I20090807000676 TX Practitioner - Cardiovascular Disease (Cardiology) 4183710320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart360 Specialists PCGroup PAC ID 1658765243, 6 clinicians

Practice addresses (Care Compare)

8513 Mid Cities Blvd
North Richland Hills, TX 76182-4773
Phone (817) 803-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
31.54 of 100Reported as individual
Improvement activities
0
Cost
63.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2825TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart360 Specialists PC Cardiovascular Disease CurrentSince Apr 29, 2024 Accepting new patients

Locations

117 Gemini Cir
Ste 403
Homewood, AL 35209

8513 Mid Cities Blvd
North Richlnd Hls, TX 76182
Phone (817) 803-1234

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

2614 E Bankhead Hwy
Weatherford, TX 76087
Phone (817) 341-8646

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 1

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 1

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1659489730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 E BANKHEAD HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760879558",
            "telephone_number": "817-341-8646",
            "fax_number": "817-341-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E BANKHEAD HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760879558",
            "telephone_number": "817-341-8646",
            "fax_number": "817-341-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-926-2544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GUDURU",
        "middle_name": "RAMANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G2824",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G2824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137429002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A0420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.