Individual provider Active NPI

Jogi R. Nareddy, M.D.

  • Cardiovascular Disease Physician
  • Hudson, FL
National Provider Identifier
1114918125
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 40160 Issued in FL
Practice address
14100 Fivay Rd.
Suite 160
Hudson, FL 34667-7194
Phone
(727) 862-1080
Fax
(727) 863-3093
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 ME 40160 FL Primary

Addresses

Primary practice location

14100 Fivay Rd.
Suite 160
Hudson, FL 34667-7194

Mailing address

14100 Fivay Rd.
Suite 160
Hudson, FL 34667-7194
Phone (727) 862-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100513001079 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880722016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 40160FLMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114918125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD.",
            "address_2": "SUITE 160",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677194",
            "telephone_number": "727-862-1080",
            "fax_number": "727-863-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD.",
            "address_2": "SUITE 160",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677194",
            "telephone_number": "727-862-1080",
            "fax_number": "727-863-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAREDDY",
        "first_name": "JOGI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 40160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.