Active NPI
Kiranmye Reddy, M.D.
- Pediatric Hematology & Oncology Physician
- Houston, TX
National Provider Identifier
1376841833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- P4103
- Practice address
- 18200 Katy Fwy Ste Wa440
Houston, TX 77094-1354 - Phone
- (832) 227-1000
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 254057 | NY | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | P4103 | TX | Primary |
Addresses
Primary practice location
18200 Katy Fwy Ste Wa440
Houston, TX 77094-1354
Mailing address
1102 Bates Ave Ste 1570
Houston, TX 77030-3635
Phone (832) 824-4294
Other practice location 1
26901 76th Ave
Suite 255
New Hyde Park, NY 11040-1433
Phone (718) 470-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Pediatric Medicine
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1102 Bates Ave
Houston, TX 77030-2698
PO Box
Dallas, TX 75284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254057 | NY | MD | Pediatrics Physician |
| P4103 | TX | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients | |
| Texas Children'S Physician Group | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- kreddy143220@prddirect.texaschildrens.org
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1376841833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BATES AVE STE 1570",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303635",
"telephone_number": "832-824-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 KATY FWY STE WA440",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770941354",
"telephone_number": "832-227-1000"
}
],
"practiceLocations": [
{
"address_1": "26901 76th Ave",
"address_2": "Suite 255",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401433",
"country_code": "US",
"telephone_number": "718-470-3460",
"fax_number": "718-343-4642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "KIRANMYE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "254057",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "P4103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.