Individual provider Active NPI

Anitha Byreddy, MD, MPH

  • Nephrology Physician
  • Irving, TX
National Provider Identifier
1689712945
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N7908 Issued in TX
Practice address
6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2490
Phone
(469) 316-2919
Fax
(972) 767-4374
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X P15928 MD
Nephrology Physician 207RN0300X N7908 TX Primary

Addresses

Primary practice location

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2490

Mailing address

6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2490
Phone (469) 316-2919

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
I20130430000545 TX Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 6406941707 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P15928MDMDNephrology Physician
N7908TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carewell Kidney Doctors PLLC Nephrology CurrentSince Feb 5, 2013 Accepting new patients
Southwest Dallas Orthopedic Asst PA CurrentSince Feb 5, 2013 Accepting new patients
Nephrology Center of Maryland, PA Nephrology PastSince Jun 19, 2010 Accepting new patients

Locations

1115 E Arkansas Ln
Ste B
Arlington, TX 76010
Phone (682) 304-0533

2909 S Hampton Rd
Ste B110
Dallas, TX 75224
Phone (214) 333-9175

2717 Osler Dr
Ste 101
Grand Prairie, TX 75051
Phone (972) 641-6751

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2717 Osler Dr
Suite 101
Grand Prairie, TX 75051-8323
Phone (972) 589-7538

Hospital & facility affiliations

  • South Arlington Dialysis Center Dialysis facility, Arlington, TX, CCN 452592
  • Grand Prairie Dialysis Center Inc Dialysis facility, Grand Prairie, TX, CCN 452863
  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Texas Rehabilitation Hospital of Arlington Inpatient rehabilitation facility, Arlington, TX, CCN 673060
  • Encompass Health Rehabilitation Hospital of Arling Inpatient rehabilitation facility, Arlington, TX, CCN 453040

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1689712945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N MACARTHUR BLVD",
            "address_2": "SUITE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392490",
            "telephone_number": "469-316-2919",
            "fax_number": "972-767-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N MACARTHUR BLVD",
            "address_2": "SUITE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392490",
            "telephone_number": "469-316-2919",
            "fax_number": "972-767-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYREDDY",
        "first_name": "ANITHA",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "P15928",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N7908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.