Indigo Bend, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

INDIGO BEND, LLC

Practice address

11212 State Highway 151
San Antonio, TX 78251-4498

Phone

(210) 847-1486

Fax

(210) 588-0006

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Madhu Sudhan Reddy Badireddy, MDNPI 1528223344

Title

President

Phone

(210) 847-1486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhu Sudhan Reddy Badireddy, M.D

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1528223344

  Hospitalist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1689271009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 LOCKHILL SELMA RD # 621",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303007",
            "telephone_number": "210-847-1486",
            "fax_number": "210-588-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-847-1486",
            "fax_number": "210-588-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO BEND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "BADIREDDY",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "SUDHAN REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-847-1486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Au Agency
• Independent Diagnostic Testing Solutions LLC
• Independent Life Care Services Inc
• Independent Living Solutions Inc.
• Independent Medical Associates, P.a.
• Indigo Provider Services, LLC
• Priya Pillai Indira, M.D
• Ana Infante, LVN
• Anthony J Infante, MD
• Ashley Marie Infante, PMHNP

• Hospitalist Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.