Active NPI
Tanmayee Sainaga Polamraju, DO
- Internal Medicine Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 008619
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (682) 777-6139
- NPI assigned
- Apr 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | S5469 | TX | |
| Internal Medicine Physician | 207R00000X | 008619 | AZ | Primary |
Addresses
Primary practice location
269 S Candy LN
Cottonwood, AZ 86326-4158
Mailing address
269 S Candy LN
Cottonwood, AZ 86326-4158
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 N Interstate 35
Denton, TX 76201-5119
Phone (940) 898-7000
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Denton
- Medical City Denton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Presbyterian Hospital Denton | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- tpolamraju1049753@direct.texashealth.org
- https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
-
- General Acute Care Hospital
- Denton, TX
- NPI 1003883158
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
- General Acute Care Hospital
- Denton, TX
- NPI 1003883158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1962937375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S CANDY LN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S CANDY LN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264158",
"telephone_number": "682-777-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAMRAJU",
"first_name": "TANMAYEE",
"middle_name": "SAINAGA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-23",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S5469",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "008619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
- 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.