Individual provider Active NPI

Durga Ram Prasad Tanneru, MD

  • Hospitalist Physician
  • Richardson, TX
National Provider Identifier
1730513789
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA12182400 Issued in NJ
Practice address
445 Walnut St Ste 133
Richardson, TX 75081-5584
Phone
(817) 592-1196
Fax
(817) 310-3102
NPI assigned
Aug 27, 2013
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X Q6582 TX
Hospitalist Physician 208M00000X 25MA12182400 NJ Primary

Addresses

Primary practice location

445 Walnut St Ste 133
Richardson, TX 75081-5584

Mailing address

445 Walnut St Ste 133
Richardson, TX 75081-5584
Phone (817) 592-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160726002618 TX Practitioner - Internal MedicinePractitioner - Hospitalist 4385937515 Reassigns benefits to 2 organizations
I20240711003990 NJ Practitioner - Hospitalist 4385937515 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6582TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 15, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince May 15, 2024 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Apogee Medical Group Texas PA Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1730513789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WALNUT ST STE 133",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815584",
            "telephone_number": "817-592-1196",
            "fax_number": "817-310-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WALNUT ST STE 133",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815584",
            "telephone_number": "817-592-1196",
            "fax_number": "817-310-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNERU",
        "first_name": "DURGA RAM PRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q6582",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA12182400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.