Ganga Somashekar Reddy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47449 Issued in MN

Practice address

5100 Gamble Dr Ste 100 - Mail Stop 31200a
Healthpartners West Clinic
St. Louis Park, MN 55416-1582

Phone

(952) 541-2500

Fax

(952) 595-6455

NPI assigned

Dec 9, 2005

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1013992304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5375",
            "fax_number": "952-595-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GAMBLE DR STE 100 - MAIL STOP 31200A",
            "address_2": "HEALTHPARTNERS WEST CLINIC",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554161582",
            "telephone_number": "952-541-2500",
            "fax_number": "952-595-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GANGA",
        "middle_name": "SOMASHEKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "47449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812084600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Realief Medical, P.a.
• Realief Neuropathy Center of Minnesota PA (Realief Neuropathy Center of St. Louis Park PA)
• Wesley Rebarcak, D.C.
• Norman Hans Rechsteiner, M.D.
• Jodi Reddan, MS, RD, LD
• Brian Andrew Redmond, PT, DPT
• Jason Dean Reed, LP
• Joann R Reed, MD
• Linda Marie Reed, PA-C
• Mariah Reed, MD

• Internal Medicine Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.