Individual provider Active NPI

Ravali Reddy Kadari, MD

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1245726736
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98920 Issued in GA
Practice address
11379 Southbridge Pkwy Ste a
Alpharetta, GA 30022-4402
Phone
(770) 777-0750
NPI assigned
Jul 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20911 NV
Family Medicine Physician 207Q00000X 98920 GA Primary

Addresses

Primary practice location

11379 Southbridge Pkwy Ste a
Alpharetta, GA 30022-4402

Mailing address

11379 Southbridge Pkwy Ste a
Alpharetta, GA 30022-4402
Phone (770) 777-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240327000486 GA Practitioner - Family Practice 0244663896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Medical Associates LLCGroup PAC ID 2567568603, 4 clinicians

Practice addresses (Care Compare)

11379 Southbridge Pkwy
Suite a
Alpharetta, GA 30022-4402
Phone (770) 770-0750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98920GAMDFamily Medicine Physician
20911NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Medical Associates LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Metro Medical Associates of Decatur, LLC PastSince Sep 1, 2024 Accepting new patients

Locations

11379 Southbridge Pkwy
Alpharetta, GA 30022
Phone (770) 289-2305

11379 Southbridge Pkwy
Ste A
Alpharetta, GA 30022
Phone (770) 770-0750

2450 Atlanta Hwy
Ste 103
Cumming, GA 30040
Phone (770) 777-0750

Interoperability endpoints

  • Direct secure messaging: ravali.kadari.p1@direct.nevadahealthcenters.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GECHCA/Endpoint/GECHCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1245726736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11379 SOUTHBRIDGE PKWY STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224402",
            "telephone_number": "770-777-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11379 SOUTHBRIDGE PKWY STE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224402",
            "telephone_number": "770-777-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADARI",
        "first_name": "RAVALI REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "20911",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "98920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.