Individual provider Active NPI

Ramadurgam Poliki Mo Reddy, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1225460884
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
284985 Issued in NY
Practice address
55 E 34TH St FL 6
New York, NY 10016-4337
Phone
(212) 252-6020
NPI assigned
Aug 6, 2013
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 284985 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 284985 NY Primary

Addresses

Primary practice location

55 E 34TH St FL 6
New York, NY 10016-4337

Mailing address

55 E 34TH St FL 6
New York, NY 10016-4337
Phone (212) 252-6020

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
I20170411000040 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 6305122128 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Nov 17, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Dec 25, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 17, 2018 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Feb 20, 2017 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Jan 4, 2021 Accepting new patients
Physicians of University Hospital, PC CurrentSince Mar 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Feb 20, 2017 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Nov 17, 2018 Accepting new patients
University Physicians Group Endocrinology PLLC Endocrinology, Diabetes & Metabolism Current Accepting new patients
Physicians of University Hospital, PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 25, 2023 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 4, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

300 Community Dr
Manhasset, NY 11030

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

55 E 34th St
Fl 6
New York, NY 10016
Phone (212) 252-6020

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

1460 Victory Blvd
Staten Island, NY 10301
Phone (718) 273-8100

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1225460884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 34TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164337",
            "telephone_number": "212-252-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 34TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164337",
            "telephone_number": "212-252-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAMADURGAM POLIKI MO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "284985",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "284985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.