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SMITHA SYAMALA KOMATREDDY
NPI 1174413470
Nurse Practitioner - Psychiatric/Mental Health in Grapevine, TX

Active since July 08, 2025PECOS EnrolledAccepts Medicare Assignment
823 IRA E WOODS AVE STE 200, GRAPEVINE, TX 76051(817) 722-6078 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Smitha Syamala Komatreddy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMITHA SYAMALA KOMATREDDY (NPI 1174413470) is an individual psychiatric/mental health provider in Grapevine, Texas, licensed in Texas (1102099) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1174413470
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSMITHA SYAMALA KOMATREDDY
Location Address823 IRA E WOODS AVE STE 200Grapevine, TX 76051-4096
Mailing Address121 Cross Timbers TrlCoppell, TX 75019-6714 · (203) 273-6206
Phone(817) 722-6078
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1174413470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1102099
823 IRA E WOODS AVE STE 200, Grapevine, TX 76051
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Smitha Syamala Komatreddy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678089455
PECOS Enrollment IDI20250718002582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Smitha Syamala Komatreddy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD Trucare PA
Same address
Endocrinology, Diabetes & Metabolism
823 IRA E WOODS AVE STE 200
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
NPI 1043754526 (817) 722-6078
Bsw Geode Clinicians Of Texas PLLC
26 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 187 clinicians in this Medicare group
NPI 1790482834 (469) 854-3263
Geode Health Of Texas, PLLC
26 mi
Psychiatry
610 S WATTERS RD STE 130
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 207 clinicians in this Medicare group
NPI 1851037162 (469) 854-3263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MD TRUCARE PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 722-6078
DR. IMRAN SHUJA KHAWAJA M.D.
Psychiatry & Neurology (Neurology)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 722-6078
ARIANA RIVERO LMFT-ASSOCIATE
Marriage & Family Therapist
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 722-6078
SUSAN KWAMBOKA MWEMBI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Tarrant County (682) 326-7776
IKRA ASHRAFI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051
Tarrant County (817) 722-6078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smitha Syamala Komatreddy's NPI number?

The NPI number for Smitha Syamala Komatreddy is 1174413470. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Smitha Syamala Komatreddy located?

Smitha Syamala Komatreddy practices at 823 Ira E Woods Ave Ste 200, Grapevine, TX 76051. The listed phone number is (817) 722-6078.

What is Smitha Syamala Komatreddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Smitha Syamala Komatreddy enrolled in Medicare?

Yes. Smitha Syamala Komatreddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Smitha Syamala Komatreddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Smitha Syamala Komatreddy reassigns Medicare benefits to 3 organizations: MD Trucare PA (Grapevine, TX), Bsw Geode Clinicians Of Texas PLLC (Allen, TX) and Geode Health Of Texas, PLLC (Allen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Smitha Syamala Komatreddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Smitha Syamala Komatreddy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Smitha Syamala Komatreddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Smitha Syamala Komatreddy was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.