Rewanth Reddy Katamreddy, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Saint Michaels Medical Center 111 Central Avenue
Floor D7 Medical Education
Newark, NJ 07102

Phone

(973) 877-5465

NPI assigned

May 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: rkatamreddy201242@direct-guthrie.org

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1386219004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE",
            "address_2": "FLOOR D7 MEDICAL EDUCATION",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT MICHAELS MEDICAL CENTER 111 CENTRAL AVENUE",
            "address_2": "FLOOR D7 MEDICAL EDUCATION",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-877-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATAMREDDY",
        "first_name": "REWANTH",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Kashani, DO
• Amogh Kashyap
• Anna Kasm, APN
• Jan Kasprowicz
• Akhil Katakam, MD
• Samuel Douglas Katers, PA-C
• Kates Community Care
• Aneesh Kathula, MD
• Kanik Pradeep Kathuria, M.D.
• Suzanne A Katsetos, M.D.

• Student in an Organized Health Care Education/Training Program in Newark, NJ
• Providers in Newark, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.