Individual provider Active NPI

Sravanthi R Reddy, M. D.

  • Physical Medicine & Rehabilitation Physician
  • Silver City, NM
National Provider Identifier
1316900012
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
NM2001-286 Issued in NM
Practice address
1268 E 32ND St
Silver City, NM 88061-7229
Phone
(575) 534-1919
Fax
(575) 534-0135
NPI assigned
Apr 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NM2001-286 NM Primary

Addresses

Primary practice location

1268 E 32ND St
Silver City, NM 88061-7229

Mailing address

1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919

Other identifiers 1

IdentifierTypeStateIssuer
72330562MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20051219000818 NM Practitioner - Physical Medicine and Rehabilitation 2961435664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Bone and Joint Institute, PCGroup PAC ID 5890717508, 8 clinicians

Practice addresses (Care Compare)

1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NM2001-286NMMDPhysical Medicine & Rehabilitation Physician
30462AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Bone and Joint Institute PC CurrentSince Sep 6, 2005 Accepting new patients
Southwest Bone and Joint Institute PC Physical Medicine & Rehabilitation CurrentSince Sep 6, 2005 Accepting new patients
George J Schilling, MD, PC Past Accepting new patients

Locations

1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919

Interoperability endpoints

  • Direct secure messaging: swbji@swbji.ssdirect.aprima.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316900012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-1919",
            "fax_number": "575-534-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617229",
            "telephone_number": "575-534-1919",
            "fax_number": "575-534-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRAVANTHI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "NM2001-286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72330562",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.