NPIMap

Individual provider Active NPI

Ashok Reddy Polu, M.D.

  • Vascular Neurology Physician
  • Baton Rouge, LA
National Provider Identifier
1053794826
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
69728 Issued in TN
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 765-6565
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 328469 LA
Vascular Neurology Physician 2084V0102X 69728 TN Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685
Phone (225) 769-2200

Other practice location 1

501 20th St Ste 503
Knoxville, TN 37916-1832
Phone (865) 331-4321

Other identifiers 2

IdentifierTypeStateIssuer
Q088547MedicaidTN
328469OtherMD LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address polu.ashok.reddy@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MD, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240308000113 TN Practitioner - Neurology 9739584210 Reassigns benefits to 5 organizations
I20251106000312 MD Practitioner - Neurology 9739584210 Reassigns benefits to 1 organization
I20260126001580 GA Practitioner - Neurology 9739584210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

501 20TH St
Suite 503
Knoxville, TN 37916-1832
Phone (865) 541-4321

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 694-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.93 of 100Reported as group
Quality
71.55
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
328469LAMDNeurology Physician
69728TNMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Dec 1, 2025 Accepting new patients
Covenant Medical Group, Inc. Neurology CurrentSince Jan 1, 2024 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jan 1, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 26, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 11, 2026 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jan 15, 2026 Accepting new patients
Parkwest Medical Center CurrentSince Mar 26, 2024 Accepting new patients
Methodist Medical Center of Illinois Neurology CurrentSince Dec 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Crawford Long Hospital PastSince Aug 1, 2020 Accepting new patients
Parkwest Medical Center Past Accepting new patients

Locations

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

Dept 888179
Knoxville, TN 37995

501 19th St
Ste 309
Knoxville, TN 37916
Phone (865) 541-1810

501 20th St
Ste 503
Knoxville, TN 37916
Phone (865) 331-4321

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: polu.ashok.reddy@covenanthealth.cernerdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1053794826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101685",
            "telephone_number": "225-769-2200",
            "fax_number": "225-768-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-765-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 20th St Ste 503",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379161832",
            "country_code": "US",
            "telephone_number": "865-331-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLU",
        "first_name": "ASHOK REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "328469",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TN",
            "license": "69728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q088547",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE NUMBER",
            "identifier": "328469",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "polu.ashok.reddy@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "501 20th St Ste 503",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379161832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.