Active NPI
Chada Natalie Reddy, MD
- Emergency Medicine Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301039083
- Practice address
- 7300 Canton Center Road
Emergency Medicine Department
Canton, MI 48187-1579 - Phone
- (734) 454-8002
- Fax
- (734) 454-2733
- NPI assigned
- Jan 9, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301039083 | MI | Primary |
Addresses
Primary practice location
7300 Canton Center Road
Emergency Medicine Department
Canton, MI 48187-1579
Mailing address
38935 Ann Arbor Road
Credentialing/Payer Contracting Services
Livonia, MI 48150-3397
Phone (734) 632-0175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043298136 | Medicaid | MI | |
| 11286704 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301039083 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Department Physicians, P.C. | Emergency Medicine | Current | Accepting new patients |
| Downriver Specialists, P.C. | Current | Accepting new patients | |
| Emergency Professionals of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
18600 Van Horn Rd
Woodhaven, MI 48183
Phone (734) 479-4800
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Brownstown TWP, MI
- NPI 1023044542
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Dearborn, MI
- NPI 1952740656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1043298136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR ROAD",
"address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 CANTON CENTER ROAD",
"address_2": "EMERGENCY MEDICINE DEPARTMENT",
"city": "CANTON",
"state": "MI",
"postal_code": "481871579",
"telephone_number": "734-454-8002",
"fax_number": "734-454-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "CHADA",
"middle_name": "NATALIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301039083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043298136",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11286704",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.