Individual provider Active NPI

Padmaja P Battula, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1972645406
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6779 Issued in TX
Practice address
8511 Easton LN
Apt 211
Fort Worth, TX 76120-2744
Phone
(817) 460-3471
NPI assigned
Feb 13, 2007
Last updated
Sep 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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 L6779 TX Primary

Addresses

Primary practice location

8511 Easton LN
Apt 211
Fort Worth, TX 76120-2744

Mailing address

8511 Easton LN
Apt 211
Fort Worth, TX 76120-2744
Phone (817) 460-3471

Other identifiers 1

IdentifierTypeStateIssuer
164398303MedicaidTX

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
I20040216000204 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7214822717 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 Hour Physicians, Inc CurrentSince Jan 1, 2015 Accepting new patients
City Hospital Physician Group Inc Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Mar 11, 2019 Accepting new patients
Concord North Texas, PLLC CurrentSince May 26, 2019 Accepting new patients
Metropolitan Emergency Physicians, P.a. Past Accepting new patients
Texas ER Group PLLC Past Accepting new patients
Level One Emergency Specialists LLC PastSince Aug 1, 2020 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Northeast Medical Transit, Inc. Past Accepting new patients
Northeast Rural Health Center Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

Interoperability endpoints

  • Direct secure messaging: padmaja.battula.1@13131.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1972645406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 EASTON LN",
            "address_2": "APT 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202744",
            "telephone_number": "817-460-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 EASTON LN",
            "address_2": "APT 211",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202744",
            "telephone_number": "817-460-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTULA",
        "first_name": "PADMAJA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164398303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.