Individual provider Active NPI

Madhavi G Reddy, M.D.

  • Family Medicine Physician
  • Monroe, NC
National Provider Identifier
1205041969
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008-00704 Issued in NC
Practice address
613 E Roosevelt Blvd
Monroe, NC 28112-5124
Phone
(704) 283-8193
Fax
(704) 283-7252
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT184979 PA
Family Medicine Physician 207Q00000X 2008-00704 NC Primary

Addresses

Primary practice location

613 E Roosevelt Blvd
Monroe, NC 28112-5124

Mailing address

PO Box 601888
Charlotte, NC 28260-1888
Phone (704) 283-8193

Other identifiers 2

IdentifierTypeStateIssuer
5909216MedicaidNC
Q04008MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080714000423 NC Practitioner - Family Practice 2264505981 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-00704NCMDFamily Medicine Physician
MT184979PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Aug 15, 2011 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 22, 2011 Accepting new patients
Duke University Affiliated Physiciains, Inc. Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients

Locations

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1090 NE Gateway Ct NE
Ste 202
Concord, NC 28025
Phone (704) 403-9050

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 210
Holly Springs, NC 27540
Phone (919) 385-6700

12905 Rosedale Hill Ave
Huntersville, NC 28078
Phone (704) 801-1000

6030 W Highway 74
Ste A
Indian Trail, NC 28079
Phone (704) 246-2777

6030 W Highway 74
Indian Trail, NC 28079
Phone (704) 246-2777

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

332 N Trade St
#1100
Matthews, NC 28105
Phone (704) 512-6850

613 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 283-8193

10208 Cerny St
Ste 210
Raleigh, NC 27617
Phone (919) 457-0340

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

10441 Moncreiffe Rd
#101
Raleigh, NC 27617
Phone (800) 266-3853

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

3000 Rogers Rd
Ste 200
Wake Forest, NC 27587
Phone (919) 385-3450

Interoperability endpoints

  • Direct secure messaging: mreddy4320@direct.medicine.duke.edu

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1205041969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601888",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601888",
            "telephone_number": "704-283-8193",
            "fax_number": "704-283-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125124",
            "telephone_number": "704-283-8193",
            "fax_number": "704-283-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MADHAVI",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT184979",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2008-00704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909216",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q04008",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.