Active NPI
Sundeep G Reddy, MD PA
- Internal Medicine Physician
- Brownsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K3422
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175413701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1042010 | Sundeep G Reddy, MD PA | Certificate of waiver | Dec 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Brownsville, TX
- NPI 1992709513
-
- Family Nurse Practitioner
- Brownsville, TX
- NPI 1346991569
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.