Individual provider Active NPI

Ramya Reddy Kedika

  • Internal Medicine Physician
  • Sunnyvale, TX
National Provider Identifier
1821477720
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8029 Issued in TX
Practice address
231 S Collins Rd
Sunnyvale, TX 75182-4624
Phone
(972) 892-3000
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X R8029 TX Primary

Addresses

Primary practice location

231 S Collins Rd
Sunnyvale, TX 75182-4624

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (214) 712-2655

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
I20190314000329 TX Practitioner - Internal Medicine 8921398355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poppy Drive Inpatient Services PLLCGroup PAC ID 2163652009, 12 clinicians

Practice addresses (Care Compare)

231 S Collins Rd
Sunnyvale, TX 75182-4624
Phone (954) 939-5000

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8029TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poppy Drive Inpatient Services PLLC Internal Medicine CurrentSince Dec 24, 2018 Accepting new patients
Texas Regional Medical Center, LLC Past Accepting new patients

Locations

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Organizations & group practices 2

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 1

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1821477720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "214-712-2655",
            "fax_number": "866-584-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S COLLINS RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824624",
            "telephone_number": "972-892-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDIKA",
        "first_name": "RAMYA",
        "middle_name": "REDDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-11-14",
        "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": "R8029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.