1. Home
  2. Directory
  3. Texas
  4. Frisco
  5. Obstetrics Gynecology
  6. NPI Profile

AMRUTHA IMMADI MD, MBA
NPI 1619617354
Obstetrics & Gynecology in Frisco, TX

Active since March 30, 2022PECOS Enrolled
5575 FRISCO SQUARE BLVD STE 380, FRISCO, TX 75034(469) 591-6700(940) 320-1220 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amrutha Immadi Md, Mba NPPES

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

AMRUTHA IMMADI MD, MBA (NPI 1619617354) is an individual obstetrics & gynecology provider in Frisco, Texas, licensed in Texas (W3814) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619617354
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAMRUTHA IMMADICredential: MD, MBA
Location Address5575 FRISCO SQUARE BLVD STE 380Frisco, TX 75034-3309
Mailing Address5575 Frisco Square Blvd Ste 380Frisco, TX 75034-3309 · (469) 591-6700 · Fax (940) 320-1220
Phone(469) 591-6700
Fax(940) 320-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1619617354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · W3814
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5575 FRISCO SQUARE BLVD STE 380, Frisco, TX 75034
Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amrutha Immadi Md, Mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214494277
PECOS Enrollment IDI20260810001858
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 Reassignment

Medicare enrollment records show Amrutha Immadi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical City Ob-Gyn, PLLC
25 mi
Obstetrics & Gynecology
3600 GASTON AVE STE 300
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1295275071 (214) 824-3200

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 75034 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

DR. LISA VARGHESE MD
Obstetrics & Gynecology
5575 FRISCO SQUARE BLVD STE 380
FRISCO, TX 75034
Denton County (940) 591-6700
JOANNA MA MD
Obstetrics & Gynecology
5575 FRISCO SQUARE BLVD STE 380
FRISCO, TX 75034
Denton County (640) 591-6700
SUNEET FLORA MD
Obstetrics & Gynecology
5575 FRISCO SQUARE BLVD STE 380
FRISCO, TX 75034
Denton County (940) 591-6700

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 Amrutha Immadi's NPI number?

The NPI number for Amrutha Immadi is 1619617354. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Amrutha Immadi located?

Amrutha Immadi practices at 5575 Frisco Square Blvd Ste 380, Frisco, TX 75034. The listed phone number is (469) 591-6700.

What is Amrutha Immadi's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amrutha Immadi enrolled in Medicare?

Yes. Amrutha Immadi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amrutha Immadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amrutha Immadi reassigns Medicare benefits to Medical City Ob-Gyn, PLLC (Dallas, TX). The 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 Amrutha Immadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amrutha Immadi accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Amrutha Immadi 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 Amrutha Immadi was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.