Active NPI
Vijay Reddy, MD.
- Pulmonary Disease Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35090869
- Practice address
- 4802 E Johnson Ave
Jonesboro, AR 72405-8413 - Phone
- (870) 936-8000
- Fax
- (870) 934-3626
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35090869 | OH | Primary |
Addresses
Primary practice location
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Mailing address
PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235886001 | Medicaid | AR |
Other names 1
- Vijay Bhasker Reddy Baimeedi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
2205 W Parker Rd
Jonesboro, AR 72404-7778
Phone (870) 933-9250
3001 Apache Dr
Suite B
Jonesboro, AR 72401-7447
Phone (870) 936-8000
4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
4808 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-8000
909 Enterprise Dr
Jonesboro, AR 72401-9201
Phone (870) 336-1530
Hospital & facility affiliations
- Baptist Memorial Hospital Jonesboro, Inc.
- Baptist Memorial Hospital-Crittenden, Inc
- Baptist Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.65 of 100
- Quality
- 44.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220100 | NY | MD | Licensed Practical Nurse |
| 35090869 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Past | Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients | |
| Atlanticare Physician Group | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100
Interoperability endpoints
- vreddy346503@direct.bmhcc.org
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.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
-
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
-
- Cardiology Technician
- Hamlet, NC
- NPI 1093875510
-
- Specialist
- Hamlet, NC
- NPI 1972509180
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1164480802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1960",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031960",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 E JOHNSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724058413",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "VIJAY",
"name_prefix": "Dr.",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35090869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235886001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIJAY BHASKER",
"last_name": "BAIMEEDI",
"middle_name": "REDDY",
"credential": "MD.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.