Step Up Sports Medicine PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

STEP UP SPORTS MEDICINE PLLC

Practice address

3020 Corporate CT Ste 400
Flower Mound, TX 75028-5617

Phone

(817) 668-3222

Fax

(817) 668-3200

NPI assigned

Jul 21, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naga Sai Venkata H Madhavapeddi, MDNPI 1467815043

Title

Owner

Phone

(817) 668-3222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Naga Sai Venkata Hanumantha Rao Madhavapeddi, M.D

  • Sports Medicine (Family Medicine) Physician
  • Flower Mound, TX
  • NPI 1467815043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1891475026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CORPORATE CT STE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285617",
            "telephone_number": "817-668-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CORPORATE CT STE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285617",
            "telephone_number": "817-668-3222",
            "fax_number": "817-668-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "MADHAVAPEDDI",
        "authorized_official_first_name": "NAGA SAI VENKATA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-668-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Elizabeth Stateson, LPC
• Brianna Stearns
• Anita C. Steephen, M.D.
• Michele K Steigleder, PHD
• Michelle Steinmetz
• Mariella Stephens
• Suzanne Stephens, LCSW
• Bailey Rose Stephenson
• Lisa C Stephenson, M.ED, LPCI
• Stepping Stones Therapy, Inc

• Sports Medicine (Family Medicine) Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.