Organization Active NPI

Sarada Gummadi MD PA

  • Internal Medicine Physician
  • Edinburg, TX
National Provider Identifier
1871892174
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SARADA GUMMADI MD PA
Practice address
2717 Michael Angelo
Suite 302
Edinburg, TX 78539-1408
Phone
(956) 467-8382
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Sarada Gummadi, MD
Title
Owner
Phone
(956) 583-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2717 Michael Angelo
Suite 302
Edinburg, TX 78539-1408

Mailing address

4404 Santa Fabiola
Mission, TX 78572-0521

Other identifiers 2

IdentifierTypeStateIssuer
0062WMOtherTXBCBS
281570601MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1871892174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 SANTA FABIOLA",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785720521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MICHAEL ANGELO",
            "address_2": "SUITE 302",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391408",
            "telephone_number": "956-467-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARADA GUMMADI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "GUMMADI",
        "authorized_official_first_name": "SARADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-583-4866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0062WM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281570601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.