Patel R Reddy, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.005020RX Issued in OH

Practice address

3355 Richmond Rd
Suite 225 a
Beachwood, OH 44122-4100

Phone

(216) 831-1494

Fax

(216) 831-9931

NPI assigned

Jan 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1972

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Access Ohio LLCGroup PAC ID 4385899053, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment Care Compare group
• Access Behavioral LLC

  • Medical Specialty Clinic/Center
  • Columbus, OH
  • NPI 1437463213
  Medicare reassignment
• Access Ohio, LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1255662276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 RICHMOND RD STE 225A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224180",
            "telephone_number": "708-381-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 RICHMOND RD",
            "address_2": "SUITE 225 A",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224100",
            "telephone_number": "216-831-1494",
            "fax_number": "216-831-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PATEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002048",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005020RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dawn Ream, APRN,FNP-C
• Constance Eleanor Rebich, PH.D.
• Rebirth Counseling and Therapy Services LLC
• David Donald Rebman, FNP
• Abelash Kattangur Reddy, D.O.
• Kathleen Ann Rednour, LISW
• Jennifer Reed, LPCC-S, ATR
• Michelle Reed
• Precious Reed, LISW
• Symone Reed

• Physician Assistant in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.