Active NPI
Durga Ram Prasad Tanneru, MD
- Hospitalist Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA12182400
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q6582 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | Accepting new patients |
| Questcare Hospitalists PLLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Texas PA | Internal Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
Internal Medicine
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.