Chennareddy MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

112288 Issued in NY

Legal business name

CHENNAREDDY MD PC

Practice address

10105 Lefferts Blvd Ste 203
South Richmond Hill, NY 11419-2014

Phone

(718) 441-8086

Fax

(718) 250-6036

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Raefeal Noah Luke

Title

Administrative Secretary

Phone

(646) 883-0422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swaminathan Chennareddy, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1508895251
  Medicare reassignment
• Xuemei He, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1245534940

  NY

  Medicare reassignment
• Joseph Abboud, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1710168901
  NPD (past)
• Dhamavarapu Pramila, MD

  • Specialist
  • Brooklyn, NY
  • NPI 1497788442
  NPD (past)
• Sarath Reddy, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1558334078
  NPD (past)
• Satish Reddy, M.D

  • Internal Medicine Physician
  • New York, NY
  • NPI 1972537371
  NPD (past)
• Thejaswini K Reddy, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1396767539
  NPD (past)
• Mukesh Shah, M.D

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1801867395
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1356360382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PURITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756029",
            "telephone_number": "718-250-8866",
            "fax_number": "718-250-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 LEFFERTS BLVD STE 203",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192014",
            "telephone_number": "718-441-8086",
            "fax_number": "718-250-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E 91st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112121302",
            "country_code": "US",
            "telephone_number": "718-773-1058",
            "fax_number": "718-773-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHENNAREDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "RAEFEAL",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "646-883-0422"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "112288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00203118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirlene Casimir
• Rauvae A. Casserly, RN
• Celestial Care Inc.
• Jaspreet Cheema
• Manjit Singh Cheema, MD
• Leena Chhatpar, DDS
• Kyungah Cho
• Choosing Hope Mental Health Counseling PLLC
• Aneela Choudhary
• Fabbiha Chowdhury

• Internal Medicine Physician in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.