NPIMap

Individual provider Active NPI

Srinivasa Honaganahally Venkat Reddy, MD

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1316933641
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34403 Issued in AZ
Practice address
6740 W Deer Valley Rd
Ste D-107-278
Glendale, AZ 85310-5953
Phone
(623) 341-6539
Fax
(623) 215-4254
NPI assigned
Sep 22, 2005
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34403 AZ Primary

Addresses

Primary practice location

6740 W Deer Valley Rd
Ste D-107-278
Glendale, AZ 85310-5953

Mailing address

6740 W Deer Valley Rd
Ste D-107-278
Glendale, AZ 85310-5953
Phone (623) 341-6539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051001000040 AZ Practitioner - Internal Medicine 3476588104 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ace Health and Wellness Center PLLCGroup PAC ID 4486029006, 3 clinicians
Dvma LLCGroup PAC ID 0941302053, 56 clinicians

Practice addresses (Care Compare)

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 248-1717

18701 N 67TH Ave
Glendale, AZ 85308-7100
Phone (623) 974-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34403AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isha Gupta MD, PLLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Chhabra Quality Care LLC Current Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Southwest Integrated Health LLC Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Ace Health and Wellness Center PLLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
V J Aulakh MD PLLC Internal Medicine PastSince Jul 1, 2018 Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1201 S 7th Ave
Ste 200
Phoenix, AZ 85007
Phone (623) 236-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

8424 E Shea Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 256-1520

14815 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 248-1717

Interoperability endpoints

  • Direct secure messaging: srinivasa.reddy.1@29397.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1316933641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 W DEER VALLEY RD",
            "address_2": "STE D-107-278",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105953",
            "telephone_number": "623-341-6539",
            "fax_number": "623-215-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 W DEER VALLEY RD",
            "address_2": "STE D-107-278",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105953",
            "telephone_number": "623-341-6539",
            "fax_number": "623-215-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRINIVASA",
        "middle_name": "HONAGANAHALLY VENKAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.