DR. PRATHIMA NAGIREDDY M.D
NPI 1306133731
Preventive Medicine - Public Health & General Preventive Medicine in Fort Worth, TX

Active since July 06, 2011PECOS Enrolled
400 N BEACH ST STE 104, FORT WORTH, TX 76111(817) 831-1750 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2024, Apr 12, 2022, Apr 7, 2022 and 6 more (9 updates tracked since 2016).

About Dr. Prathima Nagireddy M.d NPPES

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

DR. PRATHIMA NAGIREDDY M.D (NPI 1306133731) is an individual public health & general preventive medicine provider in Fort Worth, Texas, licensed in Texas (T4011) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306133731
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameDR. PRATHIMA NAGIREDDYCredential: M.D
Location Address400 N BEACH ST STE 104Fort Worth, TX 76111-7070
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119
Sole ProprietorYes
Enumeration DateJuly 6, 2011
Last NPPES UpdateMay 2, 20249 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1306133731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Licenses✔ Licensed in TX · T4011✔ Licensed in IL · 148418
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 036-148418 (IL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 75992 (GA)
400 N BEACH ST STE 104, Fort Worth, TX 76111

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prathima Nagireddy M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Prathima Nagireddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
2500 WEST FRWY, SUITE 100
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: American Current Care PA
  • 237 clinicians in this Medicare group
Clinic/Center
3629 FAIRMOUNT ST
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76111 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
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 2

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

Internal Medicine
400 N BEACH ST STE 104
FORT WORTH, TX 76111
Internal Medicine
400 N BEACH ST STE 104
FORT WORTH, TX 76111

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 Prathima Nagireddy's NPI number?

The NPI number for Prathima Nagireddy is 1306133731. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Prathima Nagireddy located?

Prathima Nagireddy practices at 400 N Beach St Ste 104, Fort Worth, TX 76111. The listed phone number is (817) 831-1750.

What is Prathima Nagireddy's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Prathima Nagireddy enrolled in Medicare?

Yes. Prathima Nagireddy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prathima Nagireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathima Nagireddy reassigns Medicare benefits to 2 organizations: American Current Care, P.A. (Fort Worth, TX) and Aids Healthcare Foundation Texas Inc (Dallas, 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 Prathima Nagireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prathima Nagireddy accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Prathima Nagireddy 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 Prathima Nagireddy was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.