Prasad V Maddukuri, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

P2895 Issued in TX

Practice address

341 Wheatfield Dr
Suite 190
Sunnyvale, TX 75182-4638

Phone

(214) 206-3695

Fax

(866) 313-9413

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Cardiovascular Disease (Cardiology)Also: Nuclear Medicine

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Prasad Maddukuri MD PLLCGroup PAC ID 0941598122, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Sunnyvale Hospital, Sunnyvale, TX, CCN 670060
• Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White The Heart Hospital Rehabilitation

  • Rehabilitation Hospital Unit
  • Denton, TX
  • NPI 1033938451

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White the Heart Hospital - Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White The Heart Hospital - Corinth

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1669213831

  General Partnership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prasad Maddukuri MD PLLC

  • Medical Specialty Clinic/Center
  • Sunnyvale, TX
  • NPI 1922450170
  Medicare reassignment Care Compare group NPD Authorized official
• Dallas Medical Physician Group

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1033551312
  Medicare reassignment NPD
• Dallas Medical Physician Group

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1861802902
  NPD

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

• Hunt Memorial Hospital District

  dba Hunt Regional

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation
• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860
  Care Compare affiliation
• Texas Regional Medical Center, LLC

  dba Baylor Scott & White Medical Center - Sunnyvale

  • General Acute Care Hospital
  • Sunnyvale, TX
  • NPI 1255579389
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1902857295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 850214",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751850214",
            "telephone_number": "214-206-3695",
            "fax_number": "866-313-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR",
            "address_2": "SUITE 190",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824638",
            "telephone_number": "214-206-3695",
            "fax_number": "866-313-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDUKURI",
        "first_name": "PRASAD",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P2895",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P2895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB159166",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303013201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loving Home Care
• Lucror Health
• Jaitha Lukose, NP
• Jordan Cornelio Luna, DDS
• Vanya Elizabeth Lyday, PA-C
• Revanth Madina, DO
• Lindsay Majors, APRN-FNP
• Lizy Mammoottil
• Abigail Sylvia Martin, PA-C
• Ebony Mason

• Cardiovascular Disease Physician in Sunnyvale, TX
• Providers in Sunnyvale, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.