Active NPI
Yasodhara Madhava Reddy, MD
- Pediatrics Physician
- Lubbock, TX
National Provider Identifier
1144284233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F8639
- Practice address
- 4102 24TH St
Suite 507
Lubbock, TX 79410-1806 - Phone
- (806) 725-7750
- Fax
- (806) 723-7518
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F8639 | TX | Primary |
Addresses
Primary practice location
4102 24TH St
Suite 507
Lubbock, TX 79410-1806
Mailing address
3420 22ND Place
Lubbock, TX 79410
Phone (806) 725-5844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135946509 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1144284233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 22ND PLACE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79410",
"telephone_number": "806-725-5844",
"fax_number": "806-723-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 24TH ST",
"address_2": "SUITE 507",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101806",
"telephone_number": "806-725-7750",
"fax_number": "806-723-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "YASODHARA",
"middle_name": "MADHAVA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F8639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135946509",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.