Active NPI
Prakash Patlolla Reddy, M.D.,
- Psychiatry Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 182152
- Practice address
- 1597 Ridge Rd W
Suite # 301
Rochester, NY 14615-2513 - Phone
- (585) 314-7595
- Fax
- (585) 368-0860
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 182152 | NY | Primary |
Addresses
Primary practice location
1597 Ridge Rd W
Suite # 301
Rochester, NY 14615-2513
Mailing address
835 W Main St
Rochester, NY 14611-2335
Phone (585) 368-6550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00357497 | Medicaid | NY | |
| 0010182152 | Other | NY | BLUE CHOICE |
| RC60182152 | Other | DOCTORS HEALTH PLAN | |
| MDG569 | Other | NY | PREFERRED CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | preddy50885@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | preddy50885@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100
79 N Clinton Ave
Rochester, NY 14604-1407
Phone (585) 546-7220
87 N Clinton Ave
Rochester, NY 14604-1407
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182152 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| University of Rochester Department of Psychiatry Clinical Group | Psychiatry | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| Finger Lakes Area Counseling and Recovery Agency, Inc. | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| University of Rochester | Psychiatry | Current | Accepting new patients |
| County of Genesee County Treasurer | Past | Accepting new patients | |
| Rochester Rehabilitation Center | Past | Accepting new patients | |
| County of Genesee County Treasurer | Past | Accepting new patients |
Locations
28 E Main St
Clifton Springs, NY 14432
Phone (315) 462-9466
81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569
339 East Ave
Ste 303
Rochester, NY 14604
Phone (315) 462-9466
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/7c4ed6b7-c140-41eb-bc5a-5ee81640f80d/
- preddy50885@direct.urmc.rochester.edu
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1790853844
-
- Addiction (Substance Use Disorder) Counselor
- Clifton Springs, NY
- NPI 1366434011
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Psychiatry Physician
- Rochester, NY
- NPI 1326088808
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Batavia, NY
- NPI 1588602064
-
- Public Health or Welfare Agency
- Batavia, NY
- NPI 1619945573
-
- Community/Behavioral Health Agency
- Rochester, NY
- NPI 1194060566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1376595223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 W MAIN ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146112335",
"telephone_number": "585-368-6550",
"fax_number": "585-368-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1597 RIDGE RD W",
"address_2": "SUITE # 301",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146152513",
"telephone_number": "585-314-7595",
"fax_number": "585-368-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PRAKASH",
"middle_name": "PATLOLLA",
"credential": "M.D.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "182152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00357497",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "0010182152",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORS HEALTH PLAN",
"identifier": "RC60182152",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MDG569",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "preddy50885@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "preddy50885@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.