Organization Active NPI

Bharathi Reddy MD PC

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1124429113
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230576 Issued in NY
Legal business name
BHARATHI REDDY MD PC
Practice address
38 Duke Dr
New Hyde Park, NY 11040-1239
Phone
(347) 743-9519
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Bharathi ReddyNPI 1932292976
Title
MD
Phone
(347) 743-9519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 230576 NY Primary

Addresses

Primary practice location

38 Duke Dr
New Hyde Park, NY 11040-1239

Mailing address

38 Duke Dr
New Hyde Park, NY 11040-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229000025 NY Part B Supplier - Clinic/Group Practice 3476876418 Receives reassigned benefits from 1 practitioner
Practice locations: Woodside, NY; New Hyde Park, NY; Manhasset, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1124429113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DUKE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 DUKE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401239",
            "telephone_number": "347-743-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARATHI REDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "BHARATHI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-743-9519"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.