SREENIVAS GUDIMETLA M.D. – NPI #1053316547
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
SREENIVAS GUDIMETLA is a physician located in STEPHENVILLE, TX. NPPES has assigned the NPI number 1053316547 to SREENIVAS GUDIMETLA on June 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 18 years ago on Apr 08, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SREENIVAS GUDIMETLA below.
NPI Profile for
SREENIVAS GUDIMETLA
(about 21 years ago)
STEPHENVILLE, TX 76401-1803 Phone: (254) 968-6051 Fax: (254) 968-4950
Identifiers for SREENIVAS GUDIMETLA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA PROVIDER NUMBER | TX | 5673038 |
| OTHER | BCBS PROVIDER NUMBER | TX | 89755J |
| OTHER | BLUE CROSS | TX | 89790V |
| OTHER | CIGNA PROVIDER NUMBER | TX | 2749061002 |
| OTHER | RAIL ROAD MEDICARE | P00074958 | |
| OTHER | RAILROAD MEDICARE PROV NO | TX | 060057347 |
| OTHER | UNITED HEALTHCARE PROV NO | TX | 193006902 |
| MEDICAID | TX | 125365003 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
TX | J2041 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SREENIVAS GUDIMETLA is affiliated with the following medical group(s):
- HOSPITAL
- TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE108 DENVER TRAIL
AZLE, TX 76020 - TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE201 WALLS DRIVE
CLEBURNE, TX 76033 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH1301 PENNSYLVANIA AVENUE
FORT WORTH, TX 76104
- TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE108 DENVER TRAIL
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