Active NPI
Valluru C Reddy, MD
- Internal Medicine Physician
- Bay City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301041360
- Practice address
- 714 S Trumbull
Bay City, MI 48708-4217 - Phone
- (989) 893-5541
- Fax
- (989) 893-5543
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301041360 | MI | Primary |
Addresses
Primary practice location
714 S Trumbull
Bay City, MI 48708-4217
Mailing address
714 S Trumbull
Bay City, MI 48708-4217
Phone (989) 893-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101398357 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
4818 W Professional Dr
Bay City, MI 48706-2844
Phone (989) 686-8100
5979 Lakeshore Rd
Fort Gratiot, MI 48059-2826
Phone (810) 385-6370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041360 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Family Medicine | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Bay Region | Past | Accepting new patients | |
| McLaren Medical Group | Family Medicine | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370
1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Rehabilitation Hospital Unit
- Bay City, MI
- NPI 1801860218
Inpatient rehabilitation facility
-
- Home Health Agency
- Bay City, MI
- NPI 1932143682
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1265564934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 S TRUMBULL",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487084217",
"telephone_number": "989-893-5541",
"fax_number": "989-893-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 S TRUMBULL",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487084217",
"telephone_number": "989-893-5541",
"fax_number": "989-893-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "VALLURU",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301041360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101398357",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.