Individual provider Active NPI

Jahnavi Devireddy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1710547732
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3155 Issued in TX
Practice address
12121 Richmond Ave Ste 415
Houston, TX 77082-2439
Phone
(281) 531-4100
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X EL6928 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 3155 TX Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 415
Houston, TX 77082-2439

Mailing address

12121 Richmond Ave Ste 415
Houston, TX 77082-2439
Phone (281) 531-4100

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220624000254 TX Practitioner - Podiatry 1456730290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluebonnet Foot and Ankle Institute, LLCGroup PAC ID 1355696675, 4 clinicians
Centers for Advanced Foot CareGroup PAC ID 0840180063, 3 clinicians

Practice addresses (Care Compare)

4131 Spicewood Springs Rd
Suite K1
Austin, TX 78759-8600
Phone (512) 394-5108

830 S Mason Rd
Suite B5
Katy, TX 77450-3863
Phone (281) 392-0149

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
74.24
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions1-10
Removal of nail tissue14
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL6928CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Foot Care PA Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Centers for Advanced Foot Care Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Bluebonnet Foot and Ankle Institute, LLC Podiatrist CurrentSince May 2, 2025 Accepting new patients

Locations

6633 E Highway 290
Ste 310
Austin, TX 78723
Phone (210) 639-4234

4131 Spicewood Springs Rd
Ste K1
Austin, TX 78759
Phone (512) 346-9299

12000 Richmond Ave
Ste 370
Houston, TX 77082
Phone (281) 497-9993

12121 Richmond Ave
Ste 415
Houston, TX 77082
Phone (281) 531-4901

830 S Mason Rd
Ste B5
Katy, TX 77450
Phone (281) 392-0149

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17766/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jahnavi.devireddy.1@17766.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEIJBA

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 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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1710547732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 415",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822439",
            "telephone_number": "281-531-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 415",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822439",
            "telephone_number": "281-531-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIREDDY",
        "first_name": "JAHNAVI",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "EL6928",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.