Active NPI
P J M Reddy MD
- Internal Medicine Physician
- Decatur, AL
National Provider Identifier
1134522485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- P J M REDDY MD
- Practice address
- 2828 Highway 31 S
Suite 101
Decatur, AL 35603-1510 - Phone
- (256) 309-5627
- Fax
- (256) 309-5648
- NPI assigned
- Oct 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Punuru J Reddy, M.D.
- Title
- Owner
- Phone
- (256) 309-5627
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2828 Highway 31 S
Suite 101
Decatur, AL 35603-1510
Mailing address
2828 Highway 31 S
Suite 101
Decatur, AL 35603-1510
Phone (256) 309-5627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150218000482 | AL | Part B Supplier - Clinic/Group Practice | 3072838960 |
Receives reassigned benefits from 3 practitioners Practice locations: Decatur, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Decatur, AL
- NPI 1972922193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1134522485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S",
"address_2": "SUITE 101",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031510",
"telephone_number": "256-309-5627",
"fax_number": "256-309-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 HIGHWAY 31 S",
"address_2": "SUITE 101",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031510",
"telephone_number": "256-309-5627",
"fax_number": "256-309-5648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P J M REDDY MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-01",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "PUNURU",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-309-5627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.