Individual provider Active NPI

Srilatha Arrem Reddy, M.D.

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1942415930
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3089 Issued in TX
Practice address
1302 Lane St
Ste 300
Irving, TX 75061-2257
Phone
(972) 870-0788
Fax
(972) 870-0393
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3089 TX Primary

Addresses

Primary practice location

1302 Lane St
Ste 300
Irving, TX 75061-2257

Mailing address

1302 Lane St
Ste 300
Irving, TX 75061-2257
Phone (972) 870-0788

Other identifiers 1

IdentifierTypeStateIssuer
146831604MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000363 TX Practitioner - Family Practice 2466410436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 Conflans Rd
Suite 100
Irving, TX 75061-6324
Phone (972) 870-0788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Srilatha a. Reddy, M.D., P.a Family Medicine CurrentSince Oct 15, 2001 Accepting new patients
Reliant Health, Inc. Family Medicine CurrentSince Sep 3, 2014 Accepting new patients

Locations

928 N Belt Line Rd
Ste 200
Grand Prairie, TX 75050
Phone (972) 262-1682

3600 Conflans Rd
Ste 100
Irving, TX 75061
Phone (972) 870-0788

1302 Lane St
Ste 300
Irving, TX 75061
Phone (972) 870-0788

3600 Conflans Rd
Ste 200
Irving, TX 75061
Phone (972) 262-2260

Interoperability endpoints

  • Direct secure messaging: srilatha.reddy.1@18148.direct.athenahealth.com
  • Direct secure messaging: sreddy578373@direct.sw.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1942415930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LANE ST",
            "address_2": "STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612257",
            "telephone_number": "972-870-0788",
            "fax_number": "972-870-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LANE ST",
            "address_2": "STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612257",
            "telephone_number": "972-870-0788",
            "fax_number": "972-870-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRILATHA",
        "middle_name": "ARREM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146831604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.