Individual provider Active NPI

Chandra S Reddy, M.D.

  • Cardiovascular Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1083649545
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
CR031554 Issued in MI
Practice address
1854 W Auburn Rd Ste 100B
Rochester Hills, MI 48309-3868
Phone
(248) 656-5800
Fax
(248) 656-5802
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X CR031554 MI Primary

Addresses

Primary practice location

1854 W Auburn Rd Ste 100B
Rochester Hills, MI 48309-3868

Mailing address

1854 W Auburn Rd Ste 100B
Rochester Hills, MI 48309-3868
Phone (248) 656-5800

Other practice location 1

455 S Livernois Rd
Suite 21B
Rochester Hills, MI 48307-2578
Phone (248) 656-5800

Other identifiers 3

IdentifierTypeStateIssuer
4601887MedicaidMI
MI4989OtherMIGROUP PTAN
1295023547OtherMIGROUP NPI (MICHIGAN HEALTHCARE PROFESSIONALS PC)

Other names 1

  • Dr. N Chandra S Reddy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040624000053 MI Practitioner - Cardiovascular Disease (Cardiology) 9335124171 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CR031554MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Apr 1, 2014 Accepting new patients
Henry Ford Health Rochester Hospital Cardiovascular Disease Current Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Nov 20, 2007 Accepting new patients
Michigan Healthcare Professionals PC Cardiovascular Disease CurrentSince Apr 1, 2014 Accepting new patients
Rochester Cardiology Associates, PC Cardiovascular Disease Past Accepting new patients

Locations

31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803

42557 Woodward Ave
Ste 130
Bloomfield Hills, MI 48304
Phone (248) 322-3088

42557 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 322-0083

42557 Woodward Ave
Bloomfld Hls, MI 48304
Phone (248) 963-9522

5701 Bow Pointe Dr
Ste 205
Clarkston, MI 48346
Phone (248) 625-5550

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1075 Suncrest Dr
Ste C
Lapeer, MI 48446
Phone (810) 538-2015

1083 Suncrest Dr
Ste B
Lapeer, MI 48446
Phone (810) 245-5390

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083649545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 W AUBURN RD STE 100B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093868",
            "telephone_number": "248-656-5800",
            "fax_number": "248-656-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 W AUBURN RD STE 100B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093868",
            "telephone_number": "248-656-5800",
            "fax_number": "248-656-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Livernois Rd",
            "address_2": "Suite 21B",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072578",
            "country_code": "US",
            "telephone_number": "248-656-5800",
            "fax_number": "248-656-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHANDRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "CR031554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4601887",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "MI4989",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI (MICHIGAN HEALTHCARE PROFESSIONALS PC)",
            "identifier": "1295023547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N CHANDRA",
            "last_name": "REDDY",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.