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

Q: 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.

Q: 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.

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: July 26, 2026.

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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.

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