NPIMap

Individual provider Active NPI

Podduturu Sridhar Reddy, M.D., M.P.H.

  • Pulmonary Disease Physician
  • Port Huron, MI
National Provider Identifier
1003816331
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301055094 Issued in MI
Practice address
2615 Electric Avenue
Port Huron, MI 48060
Phone
(810) 990-8222
Fax
(810) 937-5592
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301055094 MI Primary

Addresses

Primary practice location

2615 Electric Avenue
Port Huron, MI 48060

Mailing address

2615 Electric Avenue
Port Huron, MI 48060
Phone (810) 990-8222

Other identifiers 1

IdentifierTypeStateIssuer
4153017MedicaidMI

Other names 1

  • Mr. Sridhar Podduturu Reddy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000880 MI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1557363942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1210 10TH Ave
Port Huron, MI 48060-3406
Phone (810) 990-8222

Hospital & facility affiliations

  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
  • Harbor Beach Community Hospital Hospital, Harbor Beach, MI, CCN 231313
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310
  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314

Merit-based Incentive Payment System (MIPS)

Final score
74.04 of 100Reported as individual
Quality
51.12
Promoting interoperability
48
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301055094MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Pulmonary & Critical Care P C Pulmonary Disease CurrentSince Jan 1, 2000 Accepting new patients
Harbor Beach Community Hospital Inc CurrentSince Oct 17, 2025 Accepting new patients
Harbor Beach Community Hospital Inc CurrentSince Oct 17, 2025 Accepting new patients

Locations

210 S 1st St
Harbor Beach, MI 48441
Phone (989) 479-3201

1210 10th Ave
Port Huron, MI 48060
Phone (810) 662-3505

2615 Electric Ave
Port Huron, MI 48060
Phone (810) 984-8470

Interoperability endpoints

  • Direct secure messaging: sreddy1148772@direct.hfhs.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/harborb-4a958f5b
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a2aabeb9-840e-4290-b28b-f0bb3ed955f9/
  • Direct secure messaging: sreddy186011@direct.covenanthealthcare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1003816331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ELECTRIC AVENUE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-990-8222",
            "fax_number": "810-937-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ELECTRIC AVENUE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-990-8222",
            "fax_number": "810-937-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PODDUTURU",
        "middle_name": "SRIDHAR",
        "name_prefix": "Mr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301055094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153017",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRIDHAR",
            "last_name": "REDDY",
            "middle_name": "PODDUTURU",
            "prefix": "MR.",
            "credential": "M.D., M.P.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.