Vishnuvardhan G Reddy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301073674 Issued in MI

Practice address

21816 W 11 Mile Rd
Southfield, MI 48076-3724

Phone

(248) 375-4040

NPI assigned

Jan 13, 2006

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MI

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

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dedicated Physicians Group of Michigan, PLLCGroup PAC ID 1153735287, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vreddy254494@direct.hfhs.org

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

• Dedicated Physicians Group of Michigan, PLLC

  dba Dedicated Senior Medical Center

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1992392393

  MI

  Medicare reassignment Care Compare group
• Southeast Michigan Medical Associates PC

  • Internal Medicine Physician
  • Lathrup Village, MI
  • NPI 1417001660
  Medicare reassignment NPD
• Dedicated Physicians Group of Michigan PLLC

  dba Dedicated Senior Medical Center Southfield

  • Non-Pharmacy Dispensing Site
  • Southfield, MI
  • NPI 1982280038
  NPD
• Dedicated Physicians Group of Michigan PLLC

  dba Dedicated Senior Medical Center Detroit East

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD (past)
• General Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1811945199
  NPD (past)
• William Beaumont Hospital

  dba Beaumont Clinical Services

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1639226699
  NPD (past)
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1376522763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "248-375-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21816 W 11 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763724",
            "telephone_number": "248-375-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 W 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Berkley",
            "state": "MI",
            "postal_code": "480722182",
            "country_code": "US",
            "telephone_number": "248-548-9090",
            "fax_number": "248-548-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VISHNUVARDHAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104552334",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assiah K Redding-Patterson
• Dana Redding
• Deme Silpa Reddy, CSW
• Mahendranath Reddy, MD
• Pritham Pingli Reddy, M.D.
• Daren Rederstorf
• Lisa Anne Redfield, RN, BSN
• Redford Medical Equipment Inc
• Kathleen A Redlawsk
• Sarah Redman

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.