Suresh Katapalli Reddy, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

27141 Issued in IA

Practice address

125 E Tower Park Dr
Waterloo, IA 50701-9330

Phone

(319) 234-5990

Fax

(319) 234-5994

NPI assigned

May 31, 2006

Last updated

Feb 16, 2010By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1053358226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-235-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E TOWER PARK DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019330",
            "telephone_number": "319-234-5990",
            "fax_number": "319-234-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SURESH",
        "middle_name": "KATAPALLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "27141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "41999",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS PLN",
            "identifier": "421417307B2",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1281378",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie S Rasmussen, ARNP
• Laura K Rasmussen, LISW
• Samuel Rasmussen, LMSW
• Reagan Linae Rathe, PHARMD
• Real Optics Inc (Eyemart Optical in Waterloo)
• David Carter Redfern, MD
• Annette Marie Redman, DOCTOR OF AUDIOLOGY
• Shawn E Reese, DDS MS PC
• Prudhvi Regula
• Kristen Kay Reichert, LISW

• Gastroenterology Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Gastroenterology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.