Angelique P Redus-McCoy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101259234 Issued in VA

Practice address

1204 W Main St
6TH Floor
Charlottesville, VA 22908-2824

Phone

(434) 924-5321

Fax

(434) 982-3816

NPI assigned

Apr 13, 2006

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aredusmccoy36509@ehrdirect.uhhospitals.org

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.

• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Pediatrics

  Medicare reassignment NPD
• Meridia Medical Group, LLC

  • Specialist
  • Warrensville Heights, OH
  • NPI 1316992944
  NPD (past)
• Multicare Health System

  dba Pacific Sports Medicine @ MultiCare

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1407808413
  NPD (past)
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1225092604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W MAIN ST",
            "address_2": "6TH FLOOR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229082824",
            "telephone_number": "434-924-5321",
            "fax_number": "434-982-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDUS-MCCOY",
        "first_name": "ANGELIQUE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35084829",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101259234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2505917",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachna Reddy
• Shanthi Reddy, MD
• John Redhead
• Dana L. Redick
• Joyce C Redinger, MD
• Beth Reed, AUD
• Daniel Richard Reed, M.D.
• Evelyn R. Reed, MD
• Samuel Robert Reed, MD
• Sean W Reed, MD

• Pediatrics Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.

Verify at the official NPI Registry.