NPIMap

Individual provider Active NPI

Kranthi Kiran Reddy Ragireddy, M.D

  • Family Medicine Physician
  • Terrell, TX
National Provider Identifier
1972733541
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7597 Issued in TX
Practice address
304 Tanger Dr
Ste 221
Terrell, TX 75160
Phone
(972) 535-6493
Fax
(972) 551-1418
NPI assigned
Jul 17, 2009
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 Q7597 TX Primary

Addresses

Primary practice location

304 Tanger Dr
Ste 221
Terrell, TX 75160

Mailing address

304 Tanger Dr
Ste 221
Terrell, TX 75160
Phone (972) 535-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511000246 TX Practitioner - Family Practice 8628226826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2009 S Washington St
Suite 200 Wellmed at Kaufman
Kaufman, TX 75142-3633
Phone (469) 770-6041

301 Tanger Dr
Suite 221
Terrell, TX 75160-6654
Phone (972) 563-6493

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Fort Worth Family Practice Associated Family Medicine Current Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Aug 29, 2022 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Aug 29, 2022 Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

3310 Live Oak St
Ste 30
Dallas, TX 75204
Phone (972) 942-3410

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

8030 Camp Bowie West Blvd
Ft Worth, TX 76116
Phone (817) 244-4620

100 Municipal Dr
Ste 300
Gun Barrel City, TX 75156
Phone (903) 713-1500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: kranthi.ragireddy@wellmed.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1972733541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TANGER DR",
            "address_2": "STE 221",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "75160",
            "telephone_number": "972-535-6493",
            "fax_number": "972-551-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TANGER DR",
            "address_2": "STE 221",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "75160",
            "telephone_number": "972-535-6493",
            "fax_number": "972-551-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGIREDDY",
        "first_name": "KRANTHI KIRAN",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

Verify at the official NPI Registry.