Individual provider Active NPI

Prashanth Reddy, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
National Provider Identifier
1194018275
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
269035 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011707 NY Practitioner - AnesthesiologyPractitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8426362799 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269035NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors United, Inc CurrentSince Jan 27, 2024 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC CurrentSince Apr 18, 2024 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.

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

Verify at the official NPI Registry.