Dr Manohar G Reddy MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0073885 Issued in FL

Legal business name

DR MANOHAR G REDDY MD PA

Practice address

2551 W Eau Gallie Blvd
Suite 101
Melbourne, FL 32935-8954

Phone

(321) 752-5544

Fax

(321) 752-5957

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manohar G Reddy, MDNPI 1356385165

Title

Physician/Owner

Phone

(321) 752-5544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manohar G Reddy, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1356385165
  Medicare reassignment NPD Authorized official
• Naomi Dawn Perri, ARNP-C

  • Adult Health Nurse Practitioner
  • Sebastian, FL
  • NPI 1992145478
  Medicare reassignment NPD
• Rebecca Lisa Womack, ARNP

  • Adult Health Nurse Practitioner
  • Melbourne, FL
  • NPI 1942470612
  Medicare reassignment NPD
• Molly E Jimenez, ARNP

  • Adult Health Nurse Practitioner
  • Palm Coast, FL
  • NPI 1699059618
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1053510305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 W EAU GALLIE BLVD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358954",
            "telephone_number": "321-752-5544",
            "fax_number": "321-752-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 W EAU GALLIE BLVD",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358954",
            "telephone_number": "321-752-5544",
            "fax_number": "321-752-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MANOHAR G REDDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "321-752-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Christopher Dowdell, MD
• Clark Andrew Downey, D.D.S
• Tara Downs
• Nicole C Doyle, APRN
• Dr Joseph D Paolucci MD PA LLC
• Dr. Pamela R. Heiple P.a.
• Dr. Phillip Estes, DMD, PA
• Dr. Theodore G Schropp
• Dr.Anu Deshpande BDS DMD Ms PA (Pristine Endodontics)
• Dragen II LLC

• Internal Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.