| Shirisha Peddi, MD | |
|
11801 South Fwy, Burleson, TX 76028 | |
| (817) 568-5955 | |
| Not Available |
| Full Name | Shirisha Peddi |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 11801 South Fwy, Burleson, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104228287 | NPI | - | NPPES |
| 036143377 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125.065420 (Illinois) | Secondary |
| 208M00000X | Hospitalist | R5622 (Texas) | Primary |
| 208M00000X | Hospitalist | 036143377 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 707 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Shirisha Peddi, MD 11801 South Fwy, Burleson, TX 76028-7021 Ph: (817) 568-5955 | Shirisha Peddi, MD 11801 South Fwy, Burleson, TX 76028 Ph: (817) 568-5955 |
Dr. Prakash Hegde, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11803 South Fwy Ste 201, Burleson, TX 76028 Phone: 817-293-4800 Fax: 817-293-4808 | |
Bhanu Kiran Pisini, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 |