Individual provider Active NPI

Rama Nadella, M.D.

  • Nephrology Physician
  • Desoto, TX
National Provider Identifier
1659545457
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N6519 Issued in TX
Practice address
2811 Duke of Gloucester St
Suite 103
Desoto, TX 75115-2017
Phone
(972) 274-5555
Fax
(972) 274-5663
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N6519 TX Primary

Addresses

Primary practice location

2811 Duke of Gloucester St
Suite 103
Desoto, TX 75115-2017

Mailing address

2811 Duke of Gloucester St
Suite 103
Desoto, TX 75115-2017
Phone (972) 274-5555

Other identifiers 1

IdentifierTypeStateIssuer
216262001MedicaidTX

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
I20101029000531 TX Practitioner - NephrologyPractitioner - Internal Medicine 9537293832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite C865
Dallas, TX 75230-6884
Phone (972) 566-3431

Hospital & facility affiliations

  • USRC Premier Richardson Dialysis facility, Richardson, TX, CCN 672740
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Renal Group PA Nephrology CurrentSince Aug 2, 2010 Accepting new patients
Mahesh Kottapalli, M.D., P.a. Past Accepting new patients
Podiatric Medical Partners of Texas, PA Past Accepting new patients
Id Partners PA Past Accepting new patients

Locations

7777 Forest Ln
Ste C865
Dallas, TX 75230
Phone (972) 566-4560

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

2811 Duke of Gloucester St
Ste 103
Desoto, TX 75115
Phone (972) 274-5555

Interoperability endpoints

  • Direct secure messaging: rama.nadella@drg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD

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 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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1659545457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152017",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "address_2": "SUITE 103",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152017",
            "telephone_number": "972-274-5555",
            "fax_number": "972-274-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADELLA",
        "first_name": "RAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N6519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216262001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.