Mallikarjuna D Reddy, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

182618 Issued in NY

Practice address

7218 164TH St
Flushing, NY 11365-4222

Phone

(718) 969-6640

Fax

(718) 969-1050

NPI assigned

Oct 5, 2005

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 NY

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

Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Merit-based Incentive Payment System (MIPS)

Final score

92.19 of 100Reported as group

Quality

82.16

Promoting interoperability

79

Improvement activities

40

Cost

75.98

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: mreddy165792@direct.medisys.org

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.

• Jamaica Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment Care Compare group NPD
• Lefferts Medical Associates PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1700922150
  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• CMC Housestaff

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1063572212
  NPD (past)
• Instant Medical Care, PC

  • Urgent Care Clinic/Center
  • Massapequa, NY
  • NPI 1548535271
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jamaica Hospital

  • General Acute Care Hospital
  • Richmond Hill, NY
  • NPI 1245370717
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1376530253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 164TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-969-6640",
            "fax_number": "718-969-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 164TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-969-6640",
            "fax_number": "718-969-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MALLIKARJUNA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "182618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281516",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Sun Home Care Inc.
• Red Sun Home Care Inc.
• Redcore Physical Therapy and Rehabilitation LLC
• Gaddam D Reddy, MD
• Kavitha D Reddy, MD
• Prashanth Reddy, M.D.
• Surendranath K Reddy, MD
• Mary Kathleen Reed, MD
• Patricia Reed, PHARMD
• Rosie Reejsinghani, MD

• Geriatric Medicine (Family Medicine) Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Geriatric Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.