Individual provider Active NPI

Hanimireddy Lakireddy, M.D.

  • Cardiovascular Disease Physician
  • Merced, CA
National Provider Identifier
1336141308
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A39957 Issued in CA
Practice address
388 E Yosemite Ave
Suite 100
Merced, CA 95340-8219
Phone
(209) 383-3456
Fax
(209) 722-6084
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A39957 CA Primary

Addresses

Primary practice location

388 E Yosemite Ave
Suite 100
Merced, CA 95340-8219

Mailing address

388 E Yosemite Ave
Suite 100
Merced, CA 95340-8219
Phone (209) 383-3456

Other identifiers 2

IdentifierTypeStateIssuer
A39957OtherCALICENSE
GR0043810MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080722000643 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042383184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
97.65
Improvement activities
40
Cost
76.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39957CAMDGeneral Practice Dentistry
A39957CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Heart Associates Cardiovascular Disease CurrentSince Jun 24, 1983 Accepting new patients

Locations

310 Mercy Ave
Merced, CA 95340
Phone (209) 383-3456

388 E Yosemite Ave
Ste 100
Merced, CA 95340
Phone (209) 383-3456

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1336141308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 E YOSEMITE AVE",
            "address_2": "SUITE 100",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408219",
            "telephone_number": "209-383-3456",
            "fax_number": "209-722-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 E YOSEMITE AVE",
            "address_2": "SUITE 100",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408219",
            "telephone_number": "209-383-3456",
            "fax_number": "209-722-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIREDDY",
        "first_name": "HANIMIREDDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A39957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A39957",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.