Active NPI
Madhavi Thukivakam Reddy, MD
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1245382704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD446760
- Practice address
- 33 East Chestnut Avenue
Philadelphia, PA 19118-2713 - Phone
- (215) 248-1350
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD.201257 | LA | |
| Internal Medicine Physician | 207R00000X | 036-116563 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | MD446760 | PA | Primary |
Addresses
Primary practice location
33 East Chestnut Avenue
Philadelphia, PA 19118-2713
Mailing address
33 East Chestnut Avenue
Philadelphia, PA 19118-2713
Phone (215) 248-1350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457558 | Medicaid | LA | |
| 03672328 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116563 | IL | MD | Internal Medicine Physician |
| MD.201257 | LA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1245382704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 EAST CHESTNUT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182713",
"telephone_number": "215-248-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 EAST CHESTNUT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182713",
"telephone_number": "215-248-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "MADHAVI",
"middle_name": "THUKIVAKAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "MD.201257",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-116563",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD446760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457558",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03672328",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.