Individual provider Active NPI

Sunil K Reddy, MD

  • Gastroenterology Physician
  • Conroe, TX
National Provider Identifier
1326003641
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
J4984 Issued in TX
Practice address
1501 River Pointe Dr
Ste 220
Conroe, TX 77304-2861
Phone
(936) 756-8144
Fax
(936) 494-1881
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X J4984 TX Primary

Addresses

Primary practice location

1501 River Pointe Dr
Ste 220
Conroe, TX 77304-2861

Mailing address

1501 River Pointe Dr
Ste 220
Conroe, TX 77304-2861
Phone (936) 756-8144

Other identifiers 3

IdentifierTypeStateIssuer
00L50HOtherTXBLUE CROSS BLUE SHIELD
099310701MedicaidTX
100006999OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040324000427 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 8426960147 Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 River Pointe Dr
Suite 220
Conroe, TX 77304-2861
Phone (936) 756-8144

Hospital & facility affiliations

  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy503
Upper gastrointestinal (GI) endoscopy for acid reflux201

National Provider Directory

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

Hospital & facility affiliations 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1326003641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR",
            "address_2": "STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042861",
            "telephone_number": "936-756-8144",
            "fax_number": "936-494-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR",
            "address_2": "STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042861",
            "telephone_number": "936-756-8144",
            "fax_number": "936-494-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUNIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "J4984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00L50H",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099310701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100006999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.