Active NPI
Jubilee Diagnostics Inc
- Physical Medicine & Rehabilitation Physician
- Irving, TX
National Provider Identifier
1942105622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- JUBILEE DIAGNOSTICS INC
- Practice address
- 1711 W Irving Blvd Ste 204
Irving, TX 75061-7168 - Phone
- (618) 350-6647
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harshith Vasireddy
- Title
- Manager
- Phone
- (618) 350-6647
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1711 W Irving Blvd Ste 204
Irving, TX 75061-7168
Mailing address
1711 W Irving Blvd Ste 204
Irving, TX 75061-7168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1942105622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 W IRVING BLVD STE 204",
"city": "IRVING",
"state": "TX",
"postal_code": "750617168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W IRVING BLVD STE 204",
"city": "IRVING",
"state": "TX",
"postal_code": "750617168",
"telephone_number": "618-350-6647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUBILEE DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "VASIREDDY",
"authorized_official_first_name": "HARSHITH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "618-350-6647"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.