Active NPI
Gampala Harish Reddy, M.D.
- Nephrology Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4301088423
- Practice address
- 1380 Coolidge Hwy Ste 150
Troy, MI 48084-7058 - Phone
- (248) 817-5264
- Fax
- (248) 829-7752
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4301088423 | MI | Primary |
Addresses
Primary practice location
1380 Coolidge Hwy Ste 150
Troy, MI 48084-7058
Mailing address
PO Box 251221
West Bloomfield, MI 48325-1221
Phone (248) 817-5264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Nephrology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1380 Coolidge Hwy
Suite 150
Troy, MI 48084-7058
Phone (248) 817-5264
Hospital & facility affiliations
- Fresenius Kidney Care Beaumont Health - Berkley
- Michigan Metropolitan Dialysis, L.L.C.
- DaVita Oak Park Dialysis
- Fresenius Kidney Care - Hazel Park
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Grosse Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Consultant PC | Nephrology | Current | Accepting new patients |
Locations
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
3601 W 13 Mile Rd
Royal Oak, MI 48073
29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730
1380 Coolidge Hwy
Ste 150
Troy, MI 48084
Phone (248) 677-4700
2221 Livernois Rd
Ste 100
Troy, MI 48083
Phone (248) 250-8233
Organizations & group practices 1
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.
-
- Nephrology Physician
- Troy, MI
- NPI 1164734596
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Berkley, MI
- NPI 1386048577
Dialysis facility
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1396768214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251221",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483251221",
"telephone_number": "248-817-5264",
"fax_number": "248-829-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 COOLIDGE HWY STE 150",
"city": "TROY",
"state": "MI",
"postal_code": "480847058",
"telephone_number": "248-817-5264",
"fax_number": "248-829-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "GAMPALA",
"middle_name": "HARISH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "4301088423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.