Active NPI
Pranay Ryan Reddy, MD
- Gastroenterology Physician
- Newburgh, IN
National Provider Identifier
1336643907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01100971A
- Practice address
- 4219 Gateway Blvd
Newburgh, IN 47630-7925 - Phone
- (812) 426-9545
- NPI assigned
- Mar 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01100971A | IN | Primary |
Addresses
Primary practice location
4219 Gateway Blvd
Newburgh, IN 47630-7925
Mailing address
PO Box 631767
Cincinnati, OH 45263-1767
Phone (812) 450-6815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181005001269 | NC | Order and Referring Only - Internal Medicine | 8426300237 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-10887 | KS | MD | Student in an Organized Health Care Education/Training Program |
| MT221900 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1336643907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631767",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631767",
"telephone_number": "812-450-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4219 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307925",
"telephone_number": "812-426-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PRANAY",
"middle_name": "RYAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01100971A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.