Individual provider Active NPI

Anjali Gaddam Reddy, NP

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1861762114
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
577483 Issued in TX
Practice address
9303 Pinecroft Dr
Suite 340
Spring, TX 77380-3181
Phone
(281) 681-0616
Fax
(281) 419-0445
NPI assigned
Jan 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 577483 TX Primary

Addresses

Primary practice location

9303 Pinecroft Dr
Suite 340
Spring, TX 77380-3181

Mailing address

9303 Pinecroft Dr
Suite 340
Spring, TX 77380-3181
Phone (281) 681-0616

Other identifiers 1

IdentifierTypeStateIssuer
158998802MedicaidTX

Other names 1

  • Anjali Reddy Gaddam Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000598 TX Practitioner - Nurse Practitioner 3870744337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hazem El Zufari MD PAGroup PAC ID 4688679665, 6 clinicians

Practice addresses (Care Compare)

9000 Forest Xing
The Woodlands, TX 77381-1122
Phone (281) 681-0616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
577483TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hazem El Zufari MD PA CurrentSince Oct 2, 2012 Accepting new patients

Locations

931 Yale St
Houston, TX 77008
Phone (346) 552-7546

920 Medical Plaza Dr
Ste 550
Shenandoah, TX 77380
Phone (281) 440-0101

9000 Forest Xing
The Woodlands, TX 77381
Phone (281) 681-0616

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

Interoperability endpoints

  • Direct secure messaging: anjali.reddy@mhezm.eclinicaldirectplus.com

Organizations & group practices 1

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 7

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": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1861762114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR",
            "address_2": "SUITE 340",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803181",
            "telephone_number": "281-681-0616",
            "fax_number": "281-419-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT DR",
            "address_2": "SUITE 340",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803181",
            "telephone_number": "281-681-0616",
            "fax_number": "281-419-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ANJALI",
        "middle_name": "GADDAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "577483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158998802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJALI",
            "last_name": "GADDAM",
            "middle_name": "REDDY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.