Active NPI
Atlas OB-GYN, PLLC
- Obstetrics & Gynecology Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ATLAS OB-GYN, PLLC
- Practice address
- 2821 E President George Bush Hwy Ste 207
Richardson, TX 75082-4277 - Phone
- (972) 907-1280
- Fax
- (972) 907-1290
- NPI assigned
- Mar 21, 2019
- 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
- Dr. Mini Sreedevi, MD
- Title
- Physician/Owner
- Phone
- (972) 907-1280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2821 E President George Bush Hwy Ste 207
Richardson, TX 75082-4277
Mailing address
2821 E President George Bush Hwy Ste 207
Richardson, TX 75082-4281
Phone (972) 907-1280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036124963 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2170974 | Atlas OB-GYN, PLLC | Certificate of waiver | Aug 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
2821 George Bush Hwy
Ste 207
Richardson, TX 75082
Phone (972) 907-1280
Interoperability endpoints
- https://api.platform.athenahealth.com/19695/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Richardson, TX
- NPI 1184930331
-
- Obstetrics & Gynecology Physician
- Richardson, TX
- NPI 1720037435
-
- Obstetrics & Gynecology Physician
- Sherman, TX
- NPI 1538142971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667001600000",
"number": "1962962423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 207",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824281",
"telephone_number": "972-907-1280",
"fax_number": "972-907-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 E PRESIDENT GEORGE BUSH HWY STE 207",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824277",
"telephone_number": "972-907-1280",
"fax_number": "972-907-1290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS OB-GYN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-21",
"last_updated": "2022-10-29",
"certification_date": "2022-10-29",
"status": "A",
"authorized_official_last_name": "SREEDEVI",
"authorized_official_first_name": "MINI",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "972-907-1280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036124963",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.