Individual provider Active NPI

Himabindu Ramasahaya Reddy, MD

  • Rheumatology Physician
  • Fort Worth, TX
National Provider Identifier
1780658708
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M2040 Issued in TX
Practice address
5450 Clearfork Main St Ste 200
Fort Worth, TX 76109-3562
Phone
(817) 336-7191
Fax
(817) 419-8840
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X M2040 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 200
Fort Worth, TX 76109-3562

Mailing address

5450 Clearfork Main St Ste 200
Fort Worth, TX 76109-3562
Phone (817) 336-7191

Other practice location 1

909 9th Ave
Suite 300
Fort Worth, TX 76104-3903
Phone (817) 336-7191 ext. 120

Other practice location 2

5450 Clearfork Main St
Fort Worth, TX 76109-3559
Phone (817) 336-7191

Other identifiers 4

IdentifierTypeStateIssuer
183557103MedicaidTX
183557104MedicaidTX
183557105MedicaidTX
183557102MedicaidTX

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
I20050825000168 TX Practitioner - RheumatologyPractitioner - Internal Medicine 1052342409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lone Star Arthritis and Rheumatology Associates PLLCGroup PAC ID 8729435789, 7 clinicians

Practice addresses (Care Compare)

5450 Clearfork Main St
Suite 200
Fort Worth, TX 76109-3562
Phone (817) 789-6770

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Arthritis and Rheumatology Associates PLLC Rheumatology CurrentSince Nov 1, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC Rheumatology CurrentSince Jul 15, 2008 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jul 15, 2008 Accepting new patients

Locations

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

3300 Colorado Blvd
Denton, TX 76210
Phone (817) 789-6770

5450 Clearfork Main St
Ste 200
Fort Worth, TX 76109
Phone (817) 336-7191

909 9th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 336-7191

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: himabindu.ramasahayamamreddy.p2@direct.aara.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1780658708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093562",
            "telephone_number": "817-336-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093562",
            "telephone_number": "817-336-7191",
            "fax_number": "817-419-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 9th Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043903",
            "country_code": "US",
            "telephone_number": "817-336-7191 x120",
            "fax_number": "817-877-4015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5450 Clearfork Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761093559",
            "country_code": "US",
            "telephone_number": "817-336-7191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "HIMABINDU",
        "middle_name": "RAMASAHAYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M2040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183557103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183557104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183557105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183557102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.