Subrahman R Boyareddigari, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G6476 Issued in TX

Practice address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246

Phone

(940) 328-1771

Fax

(940) 325-4440

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Gastroenterology

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Palo Pinto County Hospital District

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076

  TX

  Medicare reassignment NPD
• Palo Pinto County Hospital District

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582

  Gastroenterology

  NPD
• Palo Pinto County Hospital District

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1376278366
  NPD
• Palo Pinto County Hospital District

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1922056993
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palo Pinto County Hospital District

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1790717874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760680578",
            "telephone_number": "940-328-1771",
            "fax_number": "940-325-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-1771",
            "fax_number": "940-325-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAREDDIGARI",
        "first_name": "SUBRAHMAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G6476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1138414-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Animesh Bhattiprolu
• Kaitlin Emily Blackwell, LPC
• Brandon Scott Boswell, MSN, RN, FNP-C
• Sue Nelle Boswell, LCSW
• Wendy Lee Boswell
• Jay Boyd
• Brad L Flaska, D.C., P.C.
• Brazos Valley Physical Therapy Limited Partnership
• Brazos Valley Physical Therapy LTD
• Breath E-Z Health Care

• All providers in Mineral Wells, TX
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.