NPIMap

Individual provider Active NPI

Udayabhasker Gangapuram Reddy, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1083660633
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78646 Issued in FL
Practice address
4807 US Highway 19
Suite 201
New Port Richey, FL 34652-4263
Phone
(727) 847-9505
Fax
(727) 847-9509
NPI assigned
May 25, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78646 FL Primary

Addresses

Primary practice location

4807 US Highway 19
Suite 201
New Port Richey, FL 34652-4263

Mailing address

5184 Jasmine Way
Palm Harbor, FL 34685-5608
Phone (727) 939-4748

Other identifiers 2

IdentifierTypeStateIssuer
268742900MedicaidFL
51655OtherFLBLUE SHIELD NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060901000005 FL Practitioner - Internal Medicine 3678586021 Reassigns benefits to 2 organizations
I20251118001704 WI Practitioner - Internal Medicine 3678586021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Primary Care PLCGroup PAC ID 9739192188, 2 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000

4807 US Hwy 19
Suite 201
New Port Richey, FL 34652-4260
Phone (727) 847-9505

5347 Main St
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Gulf Coast Primary Care PLC CurrentSince Mar 13, 2006 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Sun State Hospitalists LLC CurrentSince Dec 1, 2019 Accepting new patients
Pca Medical Group, Inc. Internal Medicine Past Accepting new patients
Elias Kanaan MD PA Internal Medicine PastSince Aug 20, 2001 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

4807 US Highway 19
Ste 201
New Prt Rchy, FL 34652
Phone (727) 847-9505

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIDFBA/Endpoint/BIDFBA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1083660633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5184 JASMINE WAY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346855608",
            "telephone_number": "727-939-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 US HIGHWAY 19",
            "address_2": "SUITE 201",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524263",
            "telephone_number": "727-847-9505",
            "fax_number": "727-847-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGAPURAM REDDY",
        "first_name": "UDAYABHASKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268742900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "51655",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.