DR. SUNIL SURASANI REDDY (NPI# 1740398064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740398064 |
| Entity Type | Individual |
| Full Name | DR. SUNIL SURASANI REDDY |
| Credential | M.D. |
| Practice Address |
2201 Se Loop 820 Fort Worth TX 76119 |
| Practice Telephone | 8177300002 |
| Practice Fax Number | 9012614510 |
| Mailing Telephone | 8177300002 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD050198L | PA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 15791 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787782 | Sunil Sandadi Reddy | Student in an Organized Health Care Education/Training Program | 4210 Saint Antoine St, University Health Center 7c, Detroit, MI 48201-2108 | 2015-04-07 |
| 1760624928 | Sunil Kumar Chillakuru Reddy | Internal Medicine | 8440 Walnut Hill Ln Ste 700, Dallas, TX 75231-3824 | 2009-04-01 |
| 1578645057 | Sunil A. Reddy | Internal Medicine | 5725 W Las Positas Blvd, #100, Pleasanton, CA 94588-4054 | 2006-10-20 |
| 1326003641 | Sunil K Reddy | Internal Medicine | 1501 River Pointe Dr, Ste 220, Conroe, TX 77304-2861 | 2006-04-19 |
| Street Address |
2201 SE LOOP 820 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222629 | Dzung V Le | Internal Medicine | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2005-08-22 |
| 1871192807 | Leslie Karen Hatch | Social Worker | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2020-10-21 |
| 1144863978 | Rachelle Dinwiddie | Physical Medicine & Rehabilitation | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2019-10-24 |
| 1922641703 | Ashley Young | Physical Therapy Assistant | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2019-10-23 |
| 1073082533 | Abiena Cash | Nurse Practitioner | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2018-11-14 |
| 1659846848 | Lucy Hahn | Pharmacist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2018-10-04 |
| 1033643077 | Christa Hadsell | Social Worker | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2017-04-17 |
| 1073052510 | Panyell Thomas | Licensed Vocational Nurse | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2017-02-16 |
| 1215397773 | Emily Callaway | Occupational Therapist | 2201 Se Loop 820, Fort Worth, TX 76119 | 2016-02-26 |
| 1144699968 | April R Brooks | Psychologist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2015-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581006 | Leon S Tio Md Pa | Internal Medicine | 800 8th Ave Ste 336, Fort Worth, TX 76104-2614 | 2019-01-02 |
| 1174009385 | Universal Clinical Care LLC. | Internal Medicine | 2502 Via Nicola Apt 3424, Fort Worth, TX 76109-5587 | 2018-07-11 |
| 1417458068 | Fort Worth Primary Care, Pllc | Internal Medicine | 800 8th Ave Ste 626, Fort Worth, TX 76104-2605 | 2018-02-27 |
| 1750753976 | Momentum Health Partners Pllc | Internal Medicine | 4551 Boat Club Rd, Fort Worth, TX 76135-2004 | 2015-10-27 |
| 1013399286 | Aman Kanti Patel | Internal Medicine | 2502 Via Nicola, Apt # 3424, Fort Worth, TX 76109-6566 | 2015-06-24 |
| 1053705855 | Deidi Ann Bergestuen | Internal Medicine | 5450 Clearfork Main Street Suite 300, Fort Worth, TX 76109-7208 | 2015-03-19 |
| 1992198188 | Jack Ni | Internal Medicine | Baylor Scott & White All Saints Medical Center, 1400 8th Ave, Fort Worth, TX 76104-4192 | 2015-03-11 |
| 1184054066 | Dfw Premier Healthcare Pa | Internal Medicine | 4844 Sangers Ct, Fort Worth, TX 76244-9119 | 2013-11-14 |
| 1588094593 | T Off Men's Health | Internal Medicine | 601 Penn St, Fort Worth, TX 76102-2619 | 2013-11-13 |
| 1174957054 | Medhealth Center Inc | Internal Medicine | 112 Nw 24th St Ste 206, Fort Worth, TX 76164-8577 | 2013-08-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.