Look up the most recent NPI and PECOS records

Sundara Reddy Durgempudi Tripura

Anesthesiology

Allopathic & Osteopathic Physicians

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

PECOS Enrollment

This provider is enrolled in PECOS as SUNDARA DURGEMPUDI TRIPURA.

Based on the most recent information from CMS, provider Sundara Reddy Durgempudi Tripura is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871708008
Provider Type
Individual
Full Name
Durgempudi Tripura, Sundara Reddy
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/11/2007
Last Updated
5/14/2024

Contact Information

Practice Location

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

(210) 567-7000

Unlisted Fax

Mailing Location

22340 Old Fossil Rd, San Antonio, TX 78261-3011

(319) 855-0255

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License 47946 Texas
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 39238 Iowa
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License SP187 Iowa
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 4301089013 Michigan

Sundara Reddy Durgempudi Tripura

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Valle, Jose Julian

Tran, Tony

Brooks, Kenneth

Little, Michael Brandon

Wissa, Michael F.

Scroggins, Daniel

Methodist Hospital Based Physicians Pllc

Mercer, Jett Joseph

Jacobs, Carly

Fitzpatrick, Molly