Sridhar A. Pudu, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

L7121 Issued in TX

Practice address

12700 Park Central Dr
Ste 430
Dallas, TX 75251-1527

Phone

(972) 239-8902

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Diagnostic Radiology

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians

North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292
• Medical City Denton Hospital, Denton, TX, CCN 450634
• Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment Care Compare group NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759
  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1164829214
  Medicare reassignment NPD
• North Star CN, LP

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945
  Medicare reassignment NPD
• North Star FP, LP

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment NPD
• North Star GV, LP

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664
  Medicare reassignment NPD
• North Star MCD, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602
  Medicare reassignment NPD
• North Star MRI LP

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701
  Medicare reassignment NPD
• North Star NPT LP

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647
  Medicare reassignment NPD
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD
• Center for Molecular Imaging Limited Partnership

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1568468676
  NPD

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

• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation
• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Metdalspi, LLC

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation
• Texas Health Presbyterian Hospital Kaufman

  • General Acute Care Hospital
  • Kaufman, TX
  • NPI 1457382798
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1881697258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740608",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753740608",
            "telephone_number": "469-317-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR",
            "address_2": "STE 430",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511527",
            "telephone_number": "972-239-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDU",
        "first_name": "SRIDHAR",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L7121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160114801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zach Puchkors
• Stevie Puckett-Perez, PH.D.
• Alysia Abigail Puckett
• Cory Puckett, LPC INTERN
• Austin Jeffrey Pucylowski, MD
• Jay Pudupakkam, M.D.
• Mitzi Puebla
• Bao Nguyen Puente, MD
• Jessica Puente, DC
• Rosa Irene Puente, LPC-A

• Diagnostic Radiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.