Active NPI
Tekulapalli Ananth Reddy, M.D.
- Internal Medicine Physician
- Midland, TX
National Provider Identifier
1922045780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F7896
- Practice address
- 2105 W Louisiana Ave
Midland, TX 79701-5919 - Phone
- (432) 685-0123
- Fax
- (432) 685-0125
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | F7896 | TX | Primary |
Addresses
Primary practice location
2105 W Louisiana Ave
Midland, TX 79701-5919
Mailing address
2105 W Louisiana Ave
Midland, TX 79701-5919
Phone (432) 685-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00MR422 | Other | TX | BLUE CROSS/BLUESHIELD TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7896 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Care I, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1922045780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 W LOUISIANA AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015919",
"telephone_number": "432-685-0123",
"fax_number": "432-685-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 W LOUISIANA AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015919",
"telephone_number": "432-685-0123",
"fax_number": "432-685-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "TEKULAPALLI",
"middle_name": "ANANTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F7896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUESHIELD TX",
"identifier": "00MR422",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.