Surapureddy Seetharam Reddy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L0535 Issued in TX

Practice address

1821 S Sesame SQ
Suite:8
Harlingen, TX 78550-9288

Phone

(956) 425-4700

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1336104017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLUMOSA CT",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785526633",
            "telephone_number": "956-364-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQ",
            "address_2": "SUITE:8",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785509288",
            "telephone_number": "956-425-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SURAPUREDDY",
        "middle_name": "SEETHARAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS&BLUE SHEILD",
            "identifier": "0065KZ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "123984",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043239502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLANS",
            "identifier": "129771101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean M. Read, PT
• William Reckley, MD
• Reconnection Myofascial Release & Wellness LLC
• Reddy Childrens Clinic, P.a
• Chandrasekhar Reddy, MD
• Peter Carl Ree, M.D.
• Ida R Reed, OD
• Jeffrey C Reese, MD
• Jacqueline Reeves
• Regency Nursing Center Partners of Harlingen, LTD.

• All providers in Harlingen, TX
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.