Active NPI
Prashanth Reddy, M.D.
- Pain Medicine (Anesthesiology) Physician
- Flushing, NY
National Provider Identifier
1194018275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 269035
- Practice address
- 7846 Parsons Blvd
Flushing, NY 11366-1957 - Phone
- (212) 498-8982
- Fax
- (212) 208-2519
- NPI assigned
- May 23, 2011
- Last updated
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 269035 | NY | Primary |
Addresses
Primary practice location
7846 Parsons Blvd
Flushing, NY 11366-1957
Mailing address
2417 Jericho Tpke # 310
New Hyde Park, NY 11040-4710
Phone (212) 498-8982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|
| 269035 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors United, Inc | Current | Accepting new patients | |
| Goldstep Ambulatory Surgery Center, LLC | Current | Accepting new patients |
Locations
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
174 Grand St
White Plains, NY 10601
Phone (718) 220-8293
176 Grand St
White Plains, NY 10601
Phone (914) 328-6080
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.
-
- Interventional Pain Medicine Physician
- Flushing, NY
- NPI 1700578366
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1194018275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 JERICHO TPKE # 310",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404710",
"telephone_number": "212-498-8982",
"fax_number": "212-208-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7846 PARSONS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113661957",
"telephone_number": "212-498-8982",
"fax_number": "212-208-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PRASHANTH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-23",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "269035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.