Individual provider Active NPI

Kota Jagdish Reddy, MD

  • Cardiovascular Disease Physician
  • Sugarland, TX
National Provider Identifier
1275565236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
K2568 Issued in TX
Practice address
3519 Town Center Blvd S
Sugarland, TX 77479
Phone
(281) 491-0044
Fax
(713) 777-8617
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K2568 TX Primary

Addresses

Primary practice location

3519 Town Center Blvd S
Sugarland, TX 77479

Mailing address

PO Box 2566
Sugarland, TX 77487-2566
Phone (281) 491-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050819000375 TX Practitioner - Cardiovascular Disease (Cardiology) 9537100409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kota Jagdish Reddy MD PAGroup PAC ID 5193766061, 2 clinicians

Practice addresses (Care Compare)

3519 Town Ctr Blvd S
Suite a
Sugar Land, TX 77479-1001
Phone (281) 491-0044

Hospital & facility affiliations

  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2568TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kota Jagdish Reddy MD PA Cardiovascular Disease CurrentSince Apr 16, 2002 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

5101 Avenue H
Ste 23
Rosenberg, TX 77471
Phone (281) 293-6700

3519 Town Center Blvd S
Ste A
Sugar Land, TX 77479
Phone (281) 491-0044

Interoperability endpoints

  • Direct secure messaging: kreddy26614@directhoustonmethodist.org
  • Direct secure messaging: kota.reddy@rcw.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDJEAA/Endpoint/DDJEAA

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275565236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2566",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "774872566",
            "telephone_number": "281-491-0044",
            "fax_number": "713-777-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 TOWN CENTER BLVD S",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-491-0044",
            "fax_number": "713-777-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KOTA",
        "middle_name": "JAGDISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugarland, TX

Sources for this page

Verify at the official NPI Registry.