Active NPI
Adireddy Kamireddy, M.D.
- Internal Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35121159
- Practice address
- 2213 Cherry St
Internal Medicine Dept.
Toledo, OH 43608-2603 - Phone
- (419) 251-3232
- Fax
- (419) 251-2393
- NPI assigned
- May 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 35121159 | OH | Primary |
Addresses
Primary practice location
2213 Cherry St
Internal Medicine Dept.
Toledo, OH 43608-2603
Mailing address
2200 Jefferson Ave
4TH Floor
Toledo, OH 43604-7101
Phone (419) 251-1963
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084460 | Medicaid | OH | |
| 35121159 | Other | OH | OH MEDICAL LICENSE |
| 1063646628 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
30 Aulike St
Suite 300
Kailua, HI 96734-2751
Phone (808) 263-5015
Hospital & facility affiliations
- Adventist Health Home Care Services
- Bayada Home Health Care
- Bristol Hospice - Hawaii, LLC
- Adventist Health Castle
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35121159 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Medical Center | Internal Medicine | Current | Accepting new patients |
| Castle Medical Center | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Castle Medical Center | Current | Accepting new patients |
Locations
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
30 Aulike St
Ste 300
Kailua, HI 96734
Phone (808) 263-5015
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
- Community/Retail Pharmacy
- Kaneohe, HI
- NPI 1679540264
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Honolulu, HI
- NPI 1306105176
-
- Home Health Agency
- Honolulu, HI
- NPI 1225478605
-
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1811045594
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- Home Health Agency
- Kaneohe, HI
- NPI 1093147886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1063646628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "4TH FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101",
"telephone_number": "419-251-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY ST",
"address_2": "INTERNAL MEDICINE DEPT.",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-3232",
"fax_number": "419-251-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIREDDY",
"first_name": "ADIREDDY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-12",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35121159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0084460",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAL LICENSE",
"identifier": "35121159",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063646628",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.
- 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.