Individual provider Active NPI

Syamala H.K. Reddy, M.D.,

  • Ophthalmology Physician
  • Slidell, LA
National Provider Identifier
1003830274
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20922 Issued in KY
Practice address
2050 Gause Blvd E Ste 150
Slidell, LA 70461-5414
Phone
(985) 629-0206
Fax
(985) 649-4060
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20922 KY Primary

Addresses

Primary practice location

2050 Gause Blvd E Ste 150
Slidell, LA 70461-5414

Mailing address

2050 Gause Blvd E Ste 150
Slidell, LA 70461-5414
Phone (606) 424-4767

Other identifiers 1

IdentifierTypeStateIssuer
6420924MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217000992 LA Practitioner - Ophthalmology 5991608978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slidell Eye Specialists ApmcGroup PAC ID 9830249846, 4 clinicians

Practice addresses (Care Compare)

2053 Gause Blvd E
Suite 100
Slidell, LA 70461-5452
Phone (985) 649-0206

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles (4 of 7)

OrganizationSpecialtyStatusNew patients
Slidell Eye Specialists, Apmc Ophthalmology CurrentSince Feb 4, 2022 Accepting new patients
Slidell Eye Specialists, Apmc CurrentSince Feb 4, 2022 Accepting new patients
Louisiana Eye Specialists, LLC Ophthalmology CurrentSince Feb 17, 2022 Accepting new patients
Kentucky Medical Services Foundation, Inc Ophthalmology Past Accepting new patients

Locations

128 Lakeview Cir
Covington, LA 70433
Phone (985) 893-8290

2053 Gause Blvd E
Ste 100
Slidell, LA 70461
Phone (985) 649-0206

2053 Gause Blvd E
Ste 150
Slidell, LA 70461
Phone (985) 445-3089

2050 Gause Blvd E
Ste 150
Slidell, LA 70461
Phone (985) 649-0206

Networks

  • TX HMO D-SNP
  • LA PPO C-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: syamalareddy@les.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1003830274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 GAUSE BLVD E STE 150",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615414",
            "telephone_number": "606-424-4767",
            "fax_number": "985-649-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 GAUSE BLVD E STE 150",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615414",
            "telephone_number": "985-629-0206",
            "fax_number": "985-649-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SYAMALA",
        "middle_name": "H.K.",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "20922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6420924",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.