SUBRAHMAN R. BOYAREDDIGARI M.D. – NPI #1790717874
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

SUBRAHMAN BOYAREDDIGARI is a physician located in MINERAL WELLS, TX. NPPES has assigned the NPI number 1790717874 to SUBRAHMAN BOYAREDDIGARI on July 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Mar 19, 2025. 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 SUBRAHMAN BOYAREDDIGARI below.

NPI Profile for
SUBRAHMAN R. BOYAREDDIGARI

NPI Number
1790717874
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SUBRAHMAN R. BOYAREDDIGARI
Credentials
M.D.
Primary location
400 SW 25TH AVE
MINERAL WELLS, TX 76067-8246
Phone: (940) 328-1771 Fax: (940) 325-4440
Mailing address
PO BOX 578
MINERAL WELLS, TX 76068-0578
Phone: (940) 328-1771 Fax: (940) 325-4440
Sole Proprietor
Yes
Updated
Certification Date
Mar 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUBRAHMAN BOYAREDDIGARI

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.

DescriptionIssuerStateIdentifier
medicaidTX1138414-02
Taxonomy Code(s)

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
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
TX G6476

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

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUBRAHMAN BOYAREDDIGARI is affiliated with the following medical group(s):
  • HOSPITAL
    • PALO PINTO GENERAL HOSPITAL
      400 SOUTHWEST 25 AVE
      MINERAL WELLS, TX 76067

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