Prathima Reddy, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME76862 Issued in FL

Practice address

6821 NW 11TH PL
Gainesville, FL 32605-4216

Phone

(352) 331-3353

Fax

(352) 333-9035

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Lady Lake, FL
  • NPI 1063853174
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Winter Park, FL
  • NPI 1770724122
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Delray Beach, FL
  • NPI 1992040976
  Medicare reassignment NPD
• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876
  Medicare reassignment
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Port St. Lucie, FL
  • NPI 1346662186
  Medicare reassignment

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1376540187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE STE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848194",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054216",
            "telephone_number": "352-331-3353",
            "fax_number": "352-333-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRATHIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME76862",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME76862",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME76862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255169100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Aaron Recos
• Recovery Awareness LLC
• Matthew Alan Redd, ATC, LAT, CES, PES,
• Raven Reddick
• Stephen Redding
• Sathavaram Venudhar Reddy, MD
• Vineet Reddy, CAA
• Andrew Robert Redfern, DO
• Paul Wilson Redline III, LMHC
• Katherine Redman, CPNP-AC

• Interventional Pain Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.