Muni Nanjunda Reddy, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A37982 Issued in CA

Practice address

2925 Sycamore Dr
Suite 103
Simi Valley, CA 93065-1208

Phone

(805) 583-0944

Fax

(805) 526-0417

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simi-San Fernando Valley Urology AssociatesGroup PAC ID 6507757796, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Simi San Fernando Valley Urology Associates

  • Specialist
  • Mission Hills, CA
  • NPI 1275633695
  Medicare reassignment Care Compare group Authorized official
• Alan Shiener MD Inc.

  • Specialist
  • Sherman Oaks, CA
  • NPI 1821174210
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1295705606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 RANCHERO RD",
            "city": "BELL CANYON",
            "state": "CA",
            "postal_code": "913071031",
            "telephone_number": "805-583-0944",
            "fax_number": "805-583-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR",
            "address_2": "SUITE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "805-583-0944",
            "fax_number": "805-526-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MUNI",
        "middle_name": "NANJUNDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A37982",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsi Marie Rau, RN, NP
• Hardik Mahesh Rawal
• Tessa Rawson
• Cynthia Amelia Ray, MPH, RD
• Deepa K Reddy, M.D.
• Shashi Kant Reddy, MD
• Nancy Lee Redgate, PT
• Linda Diane Reed, DPT
• Regents of the University of California
• Regents of the University of California

• Specialist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.