Guru Reddy, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

21913-875 Issued in WI

Practice address

615 Copeland Mill Rd Ste 2D
Westerville, OH 43081-8904

Phone

(614) 939-2308

Fax

(614) 939-2309

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: guru.reddy@hca5.eclinicaldirectplus.com

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.

• Cardiac and Vascular Consultants MD PA

  • Medical Specialty Clinic/Center
  • The Villages, FL
  • NPI 1093006108
  Medicare reassignment NPD

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1295917052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23092 SUNFIELD DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 COPELAND MILL RD STE 2D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818904",
            "telephone_number": "614-939-2308",
            "fax_number": "614-939-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GURU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35041941",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WI",
            "license": "21913-875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Reardon
• Anne Rebman, M.A.
• Casey Rech
• Bethany Anne Recker, MD
• Ramon Bernard Reddick, MD
• Nichole S Redic, LPCC-S
• Alexandra Reed, PSYD
• Devon L Reed, CNP
• Kristina Padolina Reed, MA, CCC-SLP
• Jennifer Reeder, OTD, OTR/L, CLT

• Clinical Cardiac Electrophysiology Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Cardiac Electrophysiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.