DR. GAUTAM BHIMIDI REDDY (NPI# 1083898365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083898365 |
| Entity Type | Individual |
| Full Name | DR. GAUTAM BHIMIDI REDDY |
| Credential | M.D. |
| Practice Address |
3801 W 15th St Bldg B, Suite 320 Plano TX 75075-4737 |
| Mailing Address |
16980 Dallas Pkwy Ste 200 Dallas TX 75248-1908 |
| Practice Telephone | 9729858838 |
| Practice Fax Number | 9725961724 |
| Mailing Telephone | 9729858838 |
| Mailing Fax Number | 9725961724 |
| Enumeration Date | 2007-12-22 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
68545 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
P3064 | TX | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
68545 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 334371701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134533110 | Gautam Kumar Reddy | Anesthesiology | 4200 University Ave, Suite 300, West Des Moines, IA 50266-5945 | 2014-06-17 |
| 1235158585 | Gautam M. Reddy | Internal Medicine | 210 E Sunrise Hwy, Ste. 304, Valley Stream, NY 11581-1329 | 2006-07-18 |
| Street Address |
3801 W 15TH ST BLDG B, SUITE 320 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552610 | Jennifer Lynn Darrow | Pediatrics | 3801 W 15th St, Suite #d-120, Plano, TX 75075-4737 | 2005-07-19 |
| 1154762789 | Rose Imaging Specialists Pa | Radiology | 3801 W 15th St, Suite 150a, Plano, TX 75075-4737 | 2013-07-11 |
| 1174847925 | Tracy C. Woehl Crna, P.C. | Nurse Anesthetist, Certified Registered | 3801 W 15th St, Suite 150, Plano, TX 75075-4737 | 2010-03-23 |
| 1487882189 | Summit Surgery Center | Clinic/Center | 3801 W 15th St, 150, Plano, TX 75075-4737 | 2009-07-01 |
| 1518101971 | Pamela Melissa Wainer | Nurse Practitioner | 3801 W 15th St, Building D, Suite 120, Plano, TX 75075-4737 | 2009-04-28 |
| 1144460643 | Folashade Lester, M.d. Pa | Family Medicine | 3801 W 15th St, 350-b, Plano, TX 75075-4737 | 2009-02-24 |
| 1982866968 | Arjun Nair | Internal Medicine | 3801 W 15th St, Bldg B, Suite 320, Plano, TX 75075-4737 | 2008-06-30 |
| 1407029689 | Timothy Duy Dao | Internal Medicine | 3801 W 15th St, Bldg B, Suite 320, Plano, TX 75075-4737 | 2008-04-08 |
| 1497933725 | Gary W, Duncan Mdpa | Specialist | 3801 W 15th St, Suite #110, Plano, TX 75075-4737 | 2008-02-08 |
| 1467678029 | David E. Samara, M.d., P.a. | Pediatrics | 3801 W 15th St, Suite #d-120, Plano, TX 75075-4737 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| 1831516947 | Wellness Diagnostic First, Inc | Internal Medicine | 3501 Midway Rd Ste 250, Plano, TX 75093-8116 | 2014-03-26 |
| 1760641377 | Rikesh Patel | Internal Medicine | 3801 W 15th St, Bldg B, Ste 320, Plano, TX 75075 | 2008-06-09 |
| 1336704840 | Collin County Heart Center Pllc | Internal Medicine | 4100 W 15th St Ste 110, Plano, TX 75093-5826 | 2019-05-09 |
| 1881978062 | Bhupinder Singh, Md, Pa | Internal Medicine | 1600 Coit Rd, Ste 207, Plano, TX 75075-6174 | 2011-10-05 |
| 1336388206 | Mordecai N. Klein, Md, Pa | Internal Medicine | 4701 Old Shepard Pl Ste 160, Plano, TX 75093-5297 | 2009-02-17 |
| 1407029689 | Timothy Duy Dao | Internal Medicine | 3801 W 15th St, Bldg B, Suite 320, Plano, TX 75075-4737 | 2008-04-08 |
| 1134183874 | Patricia A Gum | Internal Medicine | 1640 Coit Rd, Plano, TX 75075-6163 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1356865737 | Apex Cardiology of Houston, Pllc | Internal Medicine | 11914 Astoria Blvd Ste 410, Houston, TX 77089-6049 | 2017-07-27 |
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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.