Individual provider Active NPI

Manthani P Reddy, M.D.

  • Infectious Disease Physician
  • Fresno, CA
National Provider Identifier
1073523916
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A49497 Issued in CA
Practice address
7045 N Maple Ave Ste 108
Fresno, CA 93720-8008
Phone
(559) 326-7393
Fax
(559) 369-2488
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A49497 CA Primary

Addresses

Primary practice location

7045 N Maple Ave Ste 108
Fresno, CA 93720-8008

Mailing address

7045 N Maple Ave Ste 108
Fresno, CA 93720-8008
Phone (559) 326-7393

Other identifiers 1

IdentifierTypeStateIssuer
00A494970MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000303 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 5991869638 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7045 N Maple Ave
Suite 101
Fresno, CA 93720-8008
Phone (559) 326-7393

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49497CAMDGeneral Practice Dentistry
A49497CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center CurrentSince Mar 30, 2011 Accepting new patients
Saint Agnes Medical Center CurrentSince Nov 29, 2009 Accepting new patients
Central California Hospital Medicine Group Inc CurrentSince Mar 2, 2020 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Mar 30, 2011 Accepting new patients
Trinity Home Health Services CurrentSince Nov 29, 2009 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

Interoperability endpoints

  • Direct secure messaging: mreddy2721481@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1073523916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-326-7393",
            "fax_number": "559-369-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-326-7393",
            "fax_number": "559-369-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MANTHANI",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A49497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A494970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.