Active NPI
Syamala H.K. Reddy, M.D.,
- Ophthalmology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6420924 | Medicaid | KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2053 Gause Blvd E
Suite 100
Slidell, LA 70461-5452
Phone (985) 649-0206
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slidell Eye Specialists, Apmc | Ophthalmology | Current | Accepting new patients |
| Slidell Eye Specialists, Apmc | Current | Accepting new patients | |
| Louisiana Eye Specialists, LLC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Slidell, LA
- NPI 1861517054
-
- Ophthalmology Physician
- Covington, LA
- NPI 1720224280
-
- Eyewear Supplier
- Slidell, LA
- NPI 1275659427
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Ophthalmology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.