SREENAND BODDU
NPI 1669050100
Radiology - Diagnostic Radiology in Dallas, TX

Q: What is Sreenand Boddu's NPI number?

The NPI number for Sreenand Boddu is 1669050100. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Sreenand Boddu's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Sreenand Boddu was last updated on June 3, 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.

Active since March 29, 2021PECOS Enrolled

6201 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-7962 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2026, Jul 7, 2022, May 18, 2021 and 1 more (4 updates tracked since 2021).

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About Sreenand Boddu NPPES

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

SREENAND BODDU (NPI 1669050100) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (W3769) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669050100

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSREENAND BODDU

Location Address6201 HARRY HINES BLVDDallas, TX 75390-7201

Mailing Address1425 Portland AveRochester, NY 14621-3011

Phone(214) 648-7962

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateJune 3, 20264 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1669050100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · W3769

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6201 HARRY HINES BLVD, Dallas, TX 75390

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sreenand Boddu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163822701

PECOS Enrollment IDI20260519004584

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 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 20

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

ALVIN A CHANDRA M.D.

Internal Medicine (Cardiovascular Disease)