Individual provider Active NPI

Leela Madhuri Reddy, M.D.

  • Hospitalist Physician
  • Charlotte, NC
National Provider Identifier
1376771360
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2014-01352 Issued in NC
Practice address
200 Hawthorne LN
Charlotte, NC 28204
Phone
(704) 384-5416
Fax
(704) 384-5992
NPI assigned
Jun 29, 2009
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014-01352 NC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2014-01352 NC
Hospitalist Physician 208M00000X 2014-01352 NC Primary

Addresses

Primary practice location

200 Hawthorne LN
Charlotte, NC 28204

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-5416

Other practice location 1

8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383
Phone (704) 384-1225

Other practice location 2

8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383
Phone (704) 384-1225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lreddy176495@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20141106000507 NC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9830311802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Suite 400
Matthews, NC 28105-5336
Phone (704) 316-5410

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01352NCMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Geriatric Medicine CurrentSince Apr 7, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 16, 2014 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 16, 2014 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8919 Park Rd
Charlotte, NC 28210
Phone (704) 384-1225

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

8310 University Exec Park Dr
Ste 550
Charlotte, NC 28262
Phone (704) 384-0684

4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1450 Matthews Township Pkwy
Ste 400
Matthews, NC 28105
Phone (704) 316-5140

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1376771360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-5416",
            "fax_number": "704-384-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-384-5416",
            "fax_number": "704-384-5992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8310 University Exec Park Dr",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623383",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "fax_number": "704-384-1226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8310 University Exec Park Dr",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623383",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "fax_number": "704-384-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "LEELA",
        "middle_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-01352",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2014-01352",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2014-01352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreddy176495@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8310 University Exec Park Dr",
            "address_2": "Suite 550",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.