Active NPI
Ramasubbareddy Dhanireddy, MD
- Neonatal-Perinatal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 39709
- Practice address
- 853 Jefferson Ave
Rout Center for Women and Newborns, Suite 201
Memphis, TN 38103-2807 - Phone
- (901) 448-5950
- Fax
- (901) 448-1691
- NPI assigned
- Apr 27, 2006
- Last updated
- Oct 8, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 39709 | TN | Primary |
Addresses
Primary practice location
853 Jefferson Ave
Rout Center for Women and Newborns, Suite 201
Memphis, TN 38103-2807
Mailing address
66 N Pauline St
Suite 206
Memphis, TN 38105-5105
Phone (901) 448-7642
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003179455A | Medicaid | GA | |
| 1144287863 | Medicaid | MI | |
| 1144287863 | Medicaid | MO | |
| 5440538 | Medicaid | TN | |
| 177903 | Medicaid | AL | |
| 09151257 | Medicaid | MS | |
| 140941001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39709 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| Ut Medical Group Inc | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Methodist Healthcare Primary Care Associates | Past | Accepting new patients |
Locations
853 Jefferson Ave
Ste 201
Memphis, TN 38103
Phone (901) 448-4750
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
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.
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1780676650
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1144287863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 N PAULINE ST",
"address_2": "SUITE 206",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055105",
"telephone_number": "901-448-7642",
"fax_number": "901-448-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 JEFFERSON AVE",
"address_2": "ROUT CENTER FOR WOMEN AND NEWBORNS, SUITE 201",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-448-5950",
"fax_number": "901-448-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHANIREDDY",
"first_name": "RAMASUBBAREDDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TN",
"license": "39709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003179455A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144287863",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144287863",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440538",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177903",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09151257",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140941001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Devoted Healthcare Staffing LLC
- Breyocha Dewalt, NP
- Joseph Christopher Dewane, M.D.
- Dewitt H. King, D.D.S., P.C.
- Anita Dey, MD
- Thirumalaivasan Dhasakeerthi, M.B.B.S
- DHP of Tennessee PC
- Shannon Rose Di Virgilio
- Diabetes Store Incorporated (Diabetes Store, Inc.)
- Diabetes Store, Incorporated (Diabetes and Respiratory Store)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.