Individual provider Active NPI

Kalpana Reddy, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Richmond Hill, NY
National Provider Identifier
1376647701
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
222134 Issued in NY
Practice address
8639 105TH St
Richmond Hill, NY 11418-1529
Phone
(718) 847-0063
Fax
(888) 464-1041
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 222134 NY Primary

Addresses

Primary practice location

8639 105TH St
Richmond Hill, NY 11418-1529

Mailing address

86-39 105 Street
Richmond Hill, NY 11418-1529
Phone (718) 847-0063

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000039 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 8820160385 Practice locations: Elmhurst, NY; Flushing, NY; Forest Hills, NY; Richmond Hill, NY

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15353 77TH Ave
CF1
Flushing, NY 11367-3186
Phone (718) 847-0038

8639 105TH St
Richmond Hill, NY 11418-1529
Phone (718) 849-0063

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Networks

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

Interoperability endpoints

  • Direct secure messaging: kreddy65399@northwell.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDFFCD/Endpoint/EDFFCD

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1376647701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-39 105 STREET",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181529",
            "telephone_number": "718-847-0063",
            "fax_number": "888-464-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8639 105TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181529",
            "telephone_number": "718-847-0063",
            "fax_number": "888-464-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KALPANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "222134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.