Venkata Nagireddi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2004006669 Issued in MO

Practice address

1463 US Highway 61
Suite C
Festus, MO 63028-4100

Phone

(636) 937-2755

Fax

(636) 933-2910

NPI assigned

Jul 4, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFGDAA/Endpoint/CFGDAA

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.

• Nagireddi Pediatrics LLC

  • Pediatrics Physician
  • Festus, MO
  • NPI 1134381999
  NPD (past) Authorized official
• North County Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Florissant, MO
  • NPI 1356366934
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1023048915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 HIGHWAY 61",
            "address_2": "SUITE C",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284101",
            "telephone_number": "636-937-2755",
            "fax_number": "636-933-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 US HIGHWAY 61",
            "address_2": "SUITE C",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-937-2755",
            "fax_number": "636-933-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGIREDDI",
        "first_name": "VENKATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2004006669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207557505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Murray, LCSW
• Musaddeque Ahmad M.D. Inc.
• My Place Residential Care
• Andrew Naegeli, DPT
• Nagireddi Pediatrics LLC
• Amie S. Nash, F.N.P.
• Heather Nass
• Nathan D. Williamson, D.M.D., LLC
• Jaime Naucke
• Neuromar

• Pediatrics Physician in Festus, MO
• Providers in Festus, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.