Prabhakar Reddy Gundappu Reddy, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD444083 Issued in PA

Practice address

3110 Hamilton Blvd
Allentown, PA 18103-3630

Phone

(570) 824-3521

NPI assigned

Dec 31, 2007

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prabhakar.reddy.p181@direct.aac.nextgenshare.com

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.

• New Day Pain & Spine Specialists LLC

  • Pain Clinic/Center
  • East Stroudsburg, PA
  • NPI 1609438324

  NJ

  Medicare reassignment NPD Authorized official
• Advanced Ortho & Pain Center Inc

  • Chiropractor
  • Jersey City, NJ
  • NPI 1174260731

  Pain Medicine

  Medicare reassignment NPD
• Premier Spine & Pain Management PC

  • Interventional Pain Medicine Physician
  • Clifton, NJ
  • NPI 1518216092
  Medicare reassignment

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1114102910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 CEDAR RD",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628958",
            "telephone_number": "505-514-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033630",
            "telephone_number": "570-824-3521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 City Line Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180172190",
            "country_code": "US",
            "telephone_number": "973-348-9007",
            "fax_number": "973-707-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDAPPU REDDY",
        "first_name": "PRABHAKAR REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD444083",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD444083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Guiness, FNP
• Arune Gulati, MD
• Natalie Michaela Guley, MD, PHD
• Anthony Gulla
• Michael J. Gullotti
• Pamela Renita Gunn, MD
• Ranju Gupta
• Ruchi Gupta, M.D.
• Henry Gursky
• Gayathri Gurumurthy, MD

• Pain Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.