Active NPI
Gonnalagadda PLLC
- Family Medicine Physician
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q2446
- Legal business name
- GONNALAGADDA PLLC
- Practice address
- 5140 Legendary Dr Ste 100
Frisco, TX 75034-9042 - Phone
- (469) 850-1432
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sreeram Gonnalagadda, M.D.
- Title
- Owner/Manager
- Phone
- (469) 850-1432
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q2446 | TX | Primary |
Addresses
Primary practice location
5140 Legendary Dr Ste 100
Frisco, TX 75034-9042
Mailing address
5140 Legendary Dr Ste 100
Frisco, TX 75034-9042
Phone (469) 850-1432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3566481 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2250297 | Gonnalagadda, PLLC | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
5140 Legendary Dr
Ste 100A
Frisco, TX 75034
Phone (972) 867-9507
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Frisco, TX
- NPI 1568520187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1851774079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 LEGENDARY DR STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349042",
"telephone_number": "469-850-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 LEGENDARY DR STE 100",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349042",
"telephone_number": "469-850-1432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GONNALAGADDA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A",
"authorized_official_last_name": "GONNALAGADDA",
"authorized_official_first_name": "SREERAM",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "469-850-1432",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "Q2446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3566481",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.