Rebecca H Reddy, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-29595 Issued in KS

Practice address

1861 N Rock Rd
Ste 105
Wichita, KS 67206-4200

Phone

(316) 201-1202

Fax

(316) 201-1251

NPI assigned

Feb 15, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Redbud Pediatrics LLC

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1255617833
  NPD (past) Authorized official
• University of Kansas School of Medicine Wichita Medical Practice Assoc

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1639143712

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1366416414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD",
            "address_2": "STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064200",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD",
            "address_2": "STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672064200",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "REBECCA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-29595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420630J",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kay Redden, RPA-C
• Gautham P Reddy, MD
• Mia Padala Reddy
• Pavan S Reddy, M.D.
• Ravali Reddy, MD
• Sarva Padmaja Reddy, MD
• Suryakumar Reddy, MD
• Frances Redinger
• Kassidy Nicole Redington
• Redwood Family Practice, LLC

• Pediatrics Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.