NPIMap

Individual provider Active NPI

Samitha Reddy, MD

  • Nephrology Physician
  • McKinney, TX
National Provider Identifier
1720224249
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N7578 Issued in TX
Practice address
5236 W University Dr Ste 4200
McKinney, TX 75071-8127
Phone
(214) 544-9590
Fax
(214) 544-9595
NPI assigned
Jan 5, 2009
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 N7578 TX Primary

Addresses

Primary practice location

5236 W University Dr Ste 4200
McKinney, TX 75071-8127

Mailing address

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5340
Phone (469) 467-0011

Other practice location 1

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5340
Phone (469) 467-0011

Other identifiers 2

IdentifierTypeStateIssuer
283023401MedicaidTX
283023403MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110620000175 TX Practitioner - Nephrology 0547448623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5368
Phone (469) 467-0011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as individual
Quality
76.37
Promoting interoperability
100
Improvement activities
40
Cost
72.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7578TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of North Texas, P.L.L.C. Nephrology CurrentSince Jul 1, 2011 Accepting new patients
Advanced Kidney Care of North Texas, P.L.L.C. Nephrology CurrentSince Jul 1, 2011 Accepting new patients
Flandrau Dialysis, LLC PastSince Jun 1, 2018 Accepting new patients

Locations

5236 W University Dr
Ste 4200
McKinney, TX 75071
Phone (214) 544-9590

4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samitha.reddy.1@2940.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1720224249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W UNIVERSITY DR STE 4200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718127",
            "telephone_number": "214-544-9590",
            "fax_number": "214-544-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4708 Alliance Blvd",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935340",
            "country_code": "US",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SAMITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N7578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283023401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283023403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.