Active NPI
Sudhir J Reddy, MD
- Psychiatry Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 50321
- Practice address
- 2345 Ariel Street North
Healthpartners Regions Behavioral Health-Maplewood
Minneapolis, MN 55109-2248 - Phone
- (651) 254-4793
- NPI assigned
- Sep 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | TEMP 103366 | MN | |
| Psychiatry Physician | 2084P0800X | 50321 | MN | Primary |
Addresses
Primary practice location
2345 Ariel Street North
Healthpartners Regions Behavioral Health-Maplewood
Minneapolis, MN 55109-2248
Mailing address
701 Park Ave # G8
Minneapolis, MN 55415-1623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
205 Wabasha Ave S
Saint Paul, MN 55107-1805
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7400
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 291-2848
8550 Hudson Blvd N
Lake Elmo, MN 55042-5500
Phone (651) 254-8580
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP 103366 | MN | MD | Neurology Physician |
| 50321 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Sudhir K Reddy MD Inc | Past | Accepting new patients |
Locations
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425
411 Stageline Rd
#200
Hudson, WI 54016
Phone (715) 531-6700
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1194910406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVE # G8",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 ARIEL STREET NORTH",
"address_2": "HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH-MAPLEWOOD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "551092248",
"telephone_number": "651-254-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SUDHIR",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "TEMP 103366",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "50321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.