Active NPI
Jayaprakash N Reddy, M.D.
- Internal Medicine Physician
- Forney, TX
National Provider Identifier
1902826977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G4198
- Practice address
- 713 W Broad St
Suite 100
Forney, TX 75126-9130 - Phone
- (972) 552-3330
- Fax
- (972) 552-3303
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G4198 | TX | Primary |
Addresses
Primary practice location
713 W Broad St
Suite 100
Forney, TX 75126-9130
Mailing address
713 W Broad St
Suite 100
Forney, TX 75126-9130
Phone (972) 552-3330
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4198 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Past | Accepting new patients |
Locations
1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452
Interoperability endpoints
- jayaprakash.reddy.p64@direct.tenet.nextgenshare.com
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1902826977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W BROAD ST",
"address_2": "SUITE 100",
"city": "FORNEY",
"state": "TX",
"postal_code": "751269130",
"telephone_number": "972-552-3330",
"fax_number": "972-552-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W BROAD ST",
"address_2": "SUITE 100",
"city": "FORNEY",
"state": "TX",
"postal_code": "751269130",
"telephone_number": "972-552-3330",
"fax_number": "972-552-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "JAYAPRAKASH",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G4198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.