Individual provider Active NPI

Pranitha Reddy, M.D.

  • Cardiovascular Disease Physician
  • South Weymouth, MA
National Provider Identifier
1154564227
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
255170 Issued in MA
Practice address
70 Pleasant St
Box 315
South Weymouth, MA 02190-2427
Phone
(781) 331-2000
Fax
(781) 337-6104
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050658 CT
Cardiovascular Disease Physician 207RC0000X 255170 MA Primary

Addresses

Primary practice location

70 Pleasant St
Box 315
South Weymouth, MA 02190-2427

Mailing address

70 Pleasant St
Box 315
South Weymouth, MA 02190-2427
Phone (781) 331-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712002772 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224292214 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians
Cardiovascular Center at Tufts Medical Center IncGroup PAC ID 3870857816, 98 clinicians

Practice addresses (Care Compare)

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255170MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Group, Inc CurrentSince Sep 1, 2016 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Nov 4, 2017 Accepting new patients
Pratt Medical Group, Inc Internal Medicine Current Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Nov 4, 2017 Accepting new patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
South Shore Cardiology PC Cardiovascular Disease CurrentSince Jul 1, 2016 Accepting new patients
Pratt Medical Group, Inc Cardiovascular Disease CurrentSince Sep 1, 2016 Accepting new patients
South Shore Medical Center, Inc. Internal Medicine CurrentSince Oct 6, 2024 Accepting new patients

Locations

800 Washington St
#1
Boston, MA 02111

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

70 Pleasant St
Weymouth, MA 02190
Phone (781) 331-2000

55 Fogg Rd
#81
Weymouth, MA 02190

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1154564227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PLEASANT ST",
            "address_2": "BOX 315",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902427",
            "telephone_number": "781-331-2000",
            "fax_number": "781-337-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PLEASANT ST",
            "address_2": "BOX 315",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902427",
            "telephone_number": "781-331-2000",
            "fax_number": "781-337-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRANITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "050658",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "255170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.