NPIMap

Individual provider Active NPI

Geeta P Reddy, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1144223876
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L8914 Issued in TX
Practice address
1315 Santa Fe St Ste 102
Corpus Christi, TX 78404-2242
Phone
(361) 992-3500
Fax
(361) 992-3517
NPI assigned
May 26, 2005
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L8914 TX Primary

Addresses

Primary practice location

1315 Santa Fe St Ste 102
Corpus Christi, TX 78404-2242

Mailing address

1521 S Staples St
Ste 601
Corpus Christi, TX 78404-3154
Phone (361) 887-8451

Other identifiers 1

IdentifierTypeStateIssuer
166167001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Geeta.Reddy@direct.davitaphysiciansolutions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000379 TX Practitioner - Nephrology 5890768519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Specialists of South Texas, P.a.Group PAC ID 0244203958, 9 clinicians

Practice addresses (Care Compare)

1521 S Staples St
Suite 601
Corpus Christi, TX 78404-3154
Phone (361) 887-8451

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8914TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of South Texas, P.a. Nephrology CurrentSince Aug 1, 2004 Accepting new patients
Dialysis Access Center, LLP Nephrology PastSince Oct 30, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Apr 26, 2020 Accepting new patients

Locations

1315 Santa Fe St
Ste 102
Corpus Christi, TX 78404
Phone (361) 992-3500

1521 S Staples St
Ste 601
Corpus Christi, TX 78404
Phone (361) 887-8451

5826 Esplanade Dr
Ste 204
Corpus Christi, TX 78414
Phone (361) 994-4858

Interoperability endpoints

  • Direct secure messaging: geeta.reddy.1@19285.direct.athenahealth.com
  • Direct secure messaging: geeta.reddy@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1144223876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST",
            "address_2": "STE 601",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043154",
            "telephone_number": "361-887-8451",
            "fax_number": "361-887-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 SANTA FE ST STE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042242",
            "telephone_number": "361-992-3500",
            "fax_number": "361-992-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GEETA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L8914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166167001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Geeta.Reddy@direct.davitaphysiciansolutions.com",
            "affiliation": "N",
            "address_1": "1315 Santa Fe St Ste 102",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784042242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.