Subrahman R Boyareddigari (NPI# 1790717874, PAC ID# 7911910625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1790717874 |
| PAC ID by PECOS | 7911910625 |
| Professional Enrollment ID | I20060725000369 |
| Full Name | Subrahman R Boyareddigari |
| Address |
400 Sw 25th Ave Mineral Wells TX 76067-8246 |
| Phone Number | 9403281771 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450565 | PALO PINTO GENERAL HOSPITAL |
| 450672 | MEDICAL CITY FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 9403281771 | |
| 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 9403286547 | PALO PINTO COUNTY HOSPITAL DISTRICT |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
400 SW 25TH AVE |
| City | MINERAL WELLS |
| State | TX |
| Zip | 76067-8246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn P Zarr | Emergency Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Linda N White | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Palo Pinto General Hospital, Mineral Wells, TX 76067-8246 |
| Kapil J Dave | Internal Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| John Crim | General Surgery | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Deborah K Vines Lowe | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| John E Jones | Family Medicine | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Louis J Graham Iii | Nurse Practitioner | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Lawrence Quan | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Maxwell C Scarlett | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Luis C Olivas | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Pray | Chiropractic | 409 W Hubbard, Mineral Wells, TX 76067-4846 | |
| Eric R Brock | Orthopedic Surgery | 715 W Hubbard St, Mineral Wells, TX 76067-4852 | |
| Chris Erwin | Nurse Practitioner | 109 Nw 2nd St, Mineral Wells, TX 76067-4940 | |
| Patrick W Hisel | Family Medicine | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Daniel L Cottrell | Physician Assistant | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Michael J Gremminger | Physical Therapy | 711 Sw 1st St, Mineral Wells, TX 76067-5117 | |
| Alice Ramsey | Family Medicine | 108 Sw 6th Ave, Mineral Wells, TX 76067-5151 | |
| Gail C Brothers | Psychologist, Clinical | 103 Sw 7th Ave, Mineral Wells, TX 76067-5164 | |
| John E Lockyer | Podiatry | 505 Sw 1st St, Mineral Wells, TX 76067-5207 | |
| Janardhana P Reddy | Thoracic Surgery | 400 S E 1st St B, Mineral Wells, TX 76067-5300 | |
| Find all physicians in zip 76067 | |||
| City | MINERAL WELLS |
| Zip Code | 76067 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | MINERAL WELLS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Subrahman R Boyareddigari.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.