Gopal B. Reddy , M.D., P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

D0053670 Issued in MD

Legal business name

GOPAL B. REDDY , M.D., P.C.

Practice address

11890 Healing Way
Silver Spring, MD 20904-7917

Phone

(443) 964-5950

Fax

(410) 257-7042

NPI assigned

Oct 4, 2007

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gopal B Reddy, M.D.NPI 1588758874

Title

President

Phone

(301) 552-5696

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gopal B Reddy, M.D.

  • Infectious Disease Physician
  • Silver Spring, MD
  • NPI 1588758874

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1346438330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221162808",
            "telephone_number": "301-552-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 HEALING WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "443-964-5950",
            "fax_number": "410-257-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8604 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103326",
            "country_code": "US",
            "telephone_number": "443-964-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOPAL B. REDDY , M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-552-5696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0053670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033777300",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136603300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Hampton Goodridge, MD
• Alyssa Goodson
• James P Goodwin, LCPC
• Julia Goolsby, PHD
• Soorita Devi Goorah, DDS
• Olga Gorbachev
• Samantha Gordin, LICSW
• Amy Gordon, LGMFT
• James Gordon, PH.D.
• Linda A. Gordon, MSW, LCSW-C, BCD

• Infectious Disease Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Infectious Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.