NPIMap

Individual provider Active NPI

Sanath B Kasi Reddy, MD

  • Neurology Physician
  • Montgomery, AL
National Provider Identifier
1376951145
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
38614 Issued in AL
Practice address
2065 E South Blvd Ste 301
Montgomery, AL 36116-2458
Phone
(334) 747-7250
NPI assigned
Jul 24, 2014
Last updated
Sep 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 38614 AL Primary

Addresses

Primary practice location

2065 E South Blvd Ste 301
Montgomery, AL 36116-2458

Mailing address

827 Linden Ave
Suite 3B
Baltimore, MD 21201-4606
Phone (410) 225-8790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191216003129 AL Practitioner - Neurology 3476860974 Reassigns benefits to 1 organization
I20241204004459 FL Practitioner - Neurology 3476860974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Medicine Services of FL LLCGroup PAC ID 0244605681, 6 clinicians

Practice addresses (Care Compare)

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 819-2929

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7377NEMDDentist
38614ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Medicine Services of FL, LLC Neurology CurrentSince Sep 23, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 29, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 29, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Neurology Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
University of Maryland Physicians, P.a. PastSince Dec 15, 2024 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2065 E South Blvd
Ste 201
Montgomery, AL 36116
Phone (334) 281-9172

2065 E South Blvd
Ste 301
Montgomery, AL 36116
Phone (334) 747-7250

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

1000 Mar Walt Dr
#H
Fort Walton Beach, FL 32547

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 7

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 3

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1376951145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 LINDEN AVE",
            "address_2": "SUITE 3B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014606",
            "telephone_number": "410-225-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E SOUTH BLVD STE 301",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162458",
            "telephone_number": "334-747-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASI REDDY",
        "first_name": "SANATH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "38614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.