Organization Active NPI

Sarath Reddy MD PC

  • Interventional Cardiology Physician
  • Brooklyn, NY
National Provider Identifier
1245266386
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
SARATH REDDY MD PC
Practice address
240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465
Phone
(718) 250-8676
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Sarath Reddy, MDNPI 1558334078
Title
President
Phone
(718) 250-8676

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465

Mailing address

240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060824000018 NY Part B Supplier - Clinic/Group Practice 5890798201 Receives reassigned benefits from 6 practitioners
Practice locations: South Richmond Hill, NY; Richmond Hill, NY; Jamaica, NY; Elmhurst, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3708 28th Ave
Ste B
Astoria, NY 11103
Phone (718) 777-5474

1340 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-4333

530 Conduit Blvd
Brooklyn, NY 11208
Phone (718) 277-5500

76 Manhattan Ave
#1
Brooklyn, NY 11206
Phone (347) 335-0305

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1245266386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATH REDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SARATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-250-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.

Verify at the official NPI Registry.