Srinivasa Honaganahally Venkat Reddy, MD
Individual provider Active NPI Internal Medicine Physician · Glendale, AZ
NPI 1316933641 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1316933641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 34403 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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 PLLC
Dvma LLC
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
- Banner Home Care-Arizona
- Abrazo Arrowhead Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051001000040 | AZ | Practitioner - Internal Medicine | 3476588104 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dvma, LLC | Internal Medicine | Current |
Accepting new patients |
| Isha Gupta MD, PLLC | Internal Medicine | Current |
Accepting new patients |
| Chhabra Quality Care LLC | Current | Accepting new patients | |
| Ace Health and Wellness Center PLLC | Internal Medicine | Current |
Accepting new patients |
| Southwest Integrated Health LLC | Internal Medicine | Current |
Accepting new patients |
| V J Aulakh MD PLLC | Internal Medicine | Past |
Accepting new patients |
| VHS of Arrowhead, Inc | Past | 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
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
1201 S 7th Ave
Ste 200
Phoenix, AZ 85007
Phone (623) 236-2000
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) 745-6015
Interoperability endpoints
- srinivasa.reddy.1@29397.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34403 | AZ | Yes |
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
Other providers in Glendale, AZ
- Recovery Insights PLLC
- Red Mountain Weight Loss Arrowhead, LLC
- Red Mountain Weight Loss Glendale, LLC
- Lakshmi GB Reddy
- Praful Anugu Reddy
- Redeemed Healthcare, LLC
- Redfield Behavioral Health LLC
- Redirect Health Centers, LLC
- Jolene Redland
- Gayle Lynn Redmon
All providers in Glendale, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.