Active NPI
Infectious Diseases Associates, LLP
- Infectious Disease Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- J4983
- Legal business name
- INFECTIOUS DISEASES ASSOCIATES, LLP
- Practice address
- 3030 North St
Suite 460
Beaumont, TX 77702 - Phone
- (409) 892-6099
- Fax
- (409) 892-2210
- NPI assigned
- Oct 6, 2006
- Last updated
- Jan 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keshava C Reddy, MD
- Title
- MD
- Phone
- (409) 892-6099
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | |||
| Infectious Disease Physician | 207RI0200X | J4983 | TX | Primary |
Addresses
Primary practice location
3030 North St
Suite 460
Beaumont, TX 77702
Mailing address
3030 North St
Suite 460
Beaumont, TX 77702
Phone (409) 892-6099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00073N | Other | TX | BLUE CROSS BLUE SHIELD |
| 079781301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3030 North St
Ste 460
Beaumont, TX 77702
Phone (409) 892-6099
2001 9th Ave
Ste 202
Port Arthur, TX 77642
Phone (409) 985-3479
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Beaumont, TX
- NPI 1932296407
-
- Nurse Practitioner
- Beaumont, TX
- NPI 1437614641
-
- Infectious Disease Physician
- Sugar Land, TX
- NPI 1891882387
-
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1013930155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325635200000",
"number": "1235226713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 NORTH ST",
"address_2": "SUITE 460",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77702",
"telephone_number": "409-892-6099",
"fax_number": "409-892-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 NORTH ST",
"address_2": "SUITE 460",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77702",
"telephone_number": "409-892-6099",
"fax_number": "409-892-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFECTIOUS DISEASES ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2012-01-04",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "KESHAVA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "409-892-6099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "J4983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00073N",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079781301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.