Praful Reddy MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PRAFUL REDDY MD PC

Practice address

14502 W Meeker Blvd
Sun City West, AZ 85375-5282

Phone

(480) 718-9277

NPI assigned

May 18, 2017

Organization subpart

No

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

Authorized official

Name

Praful Anugu Reddy, MDNPI 1679590616

Title

Owner

Phone

(602) 843-3811

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Praful Anugu Reddy, MD

  • Neurology Physician
  • Glendale, AZ
  • NPI 1679590616
  Medicare reassignment Authorized official
• Lindsay Collins Brown, PA-C

  • Physician Assistant
  • Peoria, AZ
  • NPI 1962951392
  Medicare reassignment
• Michaela Ann Johnson, NP

  • Acute Care Nurse Practitioner
  • Sun City, AZ
  • NPI 1700368685
  Medicare reassignment
• Jennifer P McDonald, PA-C

  • Medical Physician Assistant
  • Apache Junction, AZ
  • NPI 1144605171
  Medicare reassignment
• Kelly Milton, M.D.

  • Neurology Physician
  • Fort Myers, FL
  • NPI 1770882458

  AZ

  Medicare reassignment

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1154858348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6227",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616227",
            "telephone_number": "480-178-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755282",
            "telephone_number": "480-718-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAFUL REDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_middle_name": "ANUGU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-843-3811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRY & NEUROLOGY",
            "identifier": "167950616",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432823",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Plascencia
• Clifford C Podewell, MD
• Ofelia Zoe Popluca, M.D.
• Shannon Lynne Porter, ARNP
• Amanda C Powers, PHYSICIAN ASSISTANT
• Tyler Pretzlaff
• Primary Plus Healthcare, PLLC
• Rafael T Urcis MD PC
• Rajnikant T Patel MD PLLC
• Raley'S Arizona LLC

• Neurology Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.

Verify at the official NPI Registry.