VLSR Madireddy MD PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

4301084372 Issued in MI

Legal business name

VLSR MADIREDDY MD PC

Practice address

4129 Okemos Rd
Ste 6
Okemos, MI 48864-2822

Phone

(517) 803-4544

Fax

(517) 803-4509

NPI assigned

Sep 16, 2008

Last updated

Dec 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Srinivasa R Madireddy, MDNPI 1033313069

Title

Physician

Phone

(248) 214-1576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Srinivasa Reddy Madireddy, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Okemos, MI
  • NPI 1033313069
  Medicare reassignment Care Compare group NPD Authorized official
• Gregory Morey

  • Nurse Practitioner
  • Okemos, MI
  • NPI 1417499294
  Medicare reassignment Care Compare group
• Nadir Galal Abdelrahman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Dimondale, MI
  • NPI 1417119892
  Medicare reassignment NPD
• Sukhvender K Nijjer, PH.D.

  • Clinical Psychologist
  • Okemos, MI
  • NPI 1821068693
  NPD
• Timothy Richard Cefai, FLP

  • Psychologist
  • Lansing, MI
  • NPI 1487618070
  NPD (past)
• Maria del Pilar Monta, LMSW, ACSW

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1326018045
  NPD (past)
• Amy H Oldejans, NP

  • Adult Health Nurse Practitioner
  • Okemos, MI
  • NPI 1972687978
  NPD (past)
• Nichole K Vanells, CNP

  • Adult Health Nurse Practitioner
  • East Lansing, MI
  • NPI 1952659377
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1023267945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 HAMILTON DR",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483020222",
            "telephone_number": "517-803-4544",
            "fax_number": "517-803-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 OKEMOS RD",
            "address_2": "STE 6",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642822",
            "telephone_number": "517-803-4544",
            "fax_number": "517-803-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLSR MADIREDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "MADIREDDY",
        "authorized_official_first_name": "SRINIVASA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-214-1576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301084372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Velez Ortiz, LLMSW, PH.D.
• Shanti Virupannavar, D.O.
• Jodi Lynn Visser, LMSW
• Vital Core LLC
• Kristin Marie Vitou, RPH
• Natalie Anne Vogel
• Alyssa Voort
• Voyage Eye Care PLLC
• Vpa PC
• Amy A Waddell, LMSW

• Geriatric Medicine (Family Medicine) Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.