Active NPI
Spandana Reddy Induru, M.D.
- Pediatrics Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD048101
- Practice address
- 111 Michigan Ave NW
Washington, DC 20010-2916 - Phone
- (202) 476-5000
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AL | ||
| Pediatrics Physician | 208000000X | MD048101 | DC | Primary |
Addresses
Primary practice location
111 Michigan Ave NW
Washington, DC 20010-2916
Mailing address
PO Box 744785
Atlanta, GA 30374-4785
Phone (202) 476-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Pediatric Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 361-8408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC | Pediatrics | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Current | Accepting new patients | |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients |
Locations
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587
4650 W Sunset Blvd
#87
Los Angeles, CA 90027
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
Pediatrics
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1265888663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744785",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744785",
"telephone_number": "202-476-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102916",
"telephone_number": "202-476-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDURU",
"first_name": "SPANDANA",
"middle_name": "REDDY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD048101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.