Individual provider Active NPI

Rohith Guduru Venkata Reddy, MD

  • Family Medicine Physician
  • Ruleville, MS
National Provider Identifier
1164031373
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31782 Issued in MS
Practice address
North Sunflower Medical Center, 840 N Oak Ave
Ruleville, MS 38771
Phone
(662) 756-4000
NPI assigned
Jul 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31782 MS Primary

Addresses

Primary practice location

North Sunflower Medical Center, 840 N Oak Ave
Ruleville, MS 38771

Mailing address

North Sunflower Medical Center, 840 N Oak Ave,
Ruleville, MS 38771
Phone (662) 756-4000

Other practice location 1

delta regional medical center, 1400 e union st
greenville, MS 38703
Phone (662) 378-3783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230818002165 MS Practitioner - Family Practice 3870955099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians

Practice addresses (Care Compare)

840 N Oak Ave
North Sunflower County Hospital
Ruleville, MS 38771-3227
Phone (601) 756-2711

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
  • Hospice of North Sunflower Hospice, Ruleville, MS, CCN 251691
  • North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
  • North Sunflower Medical Center Cah Nursing home, CCN 25Z318

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Jul 14, 2023 Accepting new patients
North Sunflower Medical Center CurrentSince Jul 14, 2023 Accepting new patients
North Sunflower Medical Center Family Medicine Current Accepting new patients
North Sunflower Medical Center CurrentSince Jul 14, 2023 Accepting new patients

Locations

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

840 N Oak Ave
Ste 101
Ruleville, MS 38771

Interoperability endpoints

  • Direct secure messaging: rohithreddy@nsfmc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of North SunflowerRuleville, MS, CCN 251691 Hospice W-2 Managing Employee Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 4

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1164031373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH SUNFLOWER MEDICAL CENTER, 840 N OAK AVE,",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "38771",
            "telephone_number": "662-756-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH SUNFLOWER MEDICAL CENTER, 840 N OAK AVE",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "38771",
            "telephone_number": "662-756-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "delta regional medical center, 1400 e union st",
            "address_purpose": "LOCATION",
            "city": "greenville",
            "state": "MS",
            "postal_code": "38703",
            "country_code": "US",
            "telephone_number": "662-378-3783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ROHITH",
        "middle_name": "GUDURU VENKATA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "31782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruleville, MS

Sources for this page

Verify at the official NPI Registry.