Individual provider Active NPI

Bindu Madhavi Mudduluru, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1679984926
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T4662 Issued in TX
Practice address
2301 S Hampton Rd Ste 900
Dallas, TX 75224-1677
Phone
(214) 330-9201
Fax
(214) 339-9577
NPI assigned
May 8, 2014
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 244202
Internal Medicine Physician 207R00000X T4662 TX Primary

Addresses

Primary practice location

2301 S Hampton Rd Ste 900
Dallas, TX 75224-1677

Mailing address

2301 S Hampton Rd Ste 900
Dallas, TX 75224-1677
Phone (214) 330-9201

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
I20221025002819 TX Practitioner - Internal Medicine 8527480300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T4662TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2022 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Nov 17, 2022 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Nov 17, 2022 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

420 N Highway 67
Ste D1
Cedar Hill, TX 75104
Phone (972) 291-7181

2301 S Hampton Rd
Ste 900
Dallas, TX 75224
Phone (214) 330-9201

1300 W Terrell Ave
#2
Fort Worth, TX 76104
Phone (817) 820-4906

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: bindu.mudduluru@wellmed.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1679984926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S HAMPTON RD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241677",
            "telephone_number": "214-330-9201",
            "fax_number": "214-339-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HAMPTON RD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241677",
            "telephone_number": "214-330-9201",
            "fax_number": "214-339-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDDULURU",
        "first_name": "BINDU MADHAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "244202",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.