Organization Active NPI

Sundeep G Reddy, MD PA

  • Internal Medicine Physician
  • Brownsville, TX
National Provider Identifier
1386725166
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3422 Issued in TX
Legal business name
SUNDEEP G REDDY, MD PA
Practice address
2300 Central Blvd
Brownsville, TX 78520-8714
Phone
(956) 544-3226
Fax
(956) 544-6657
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Dr. Sundeep G Reddy, M.D.NPI 1992709513
Title
Physician/Owner
Phone
(956) 544-3226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K3422 TX Primary

Addresses

Primary practice location

2300 Central Blvd
Brownsville, TX 78520-8714

Mailing address

PO Box 3190
Brownsville, TX 78523-3190
Phone (956) 544-3226

Other identifiers 1

IdentifierTypeStateIssuer
175413701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809001147 TX Part B Supplier - Clinic/Group Practice 4486683414 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1042010Sundeep G Reddy, MD PA2300 Central Blvd, Brownsville, TX 78520Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory

Locations

864 Central Blvd
Ste 2500
Brownsville, TX 78520
Phone (956) 544-0755

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1386725166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3190",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785233190",
            "telephone_number": "956-544-3226",
            "fax_number": "956-544-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208714",
            "telephone_number": "956-544-3226",
            "fax_number": "956-544-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDEEP G REDDY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "956-544-3226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175413701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.