Organization Active NPI

Samyuktha C.Reddy,M.D.,P.C.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1396809828
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AL10773 Issued in AL
Legal business name
SAMYUKTHA C.REDDY,M.D.,P.C.
Practice address
400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6452
Phone
(256) 885-2222
Fax
(256) 885-2223
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. Samyuktha C Reddy, M.D.
Title
President
Phone
(256) 885-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X AL10773 AL Primary

Addresses

Primary practice location

400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6452

Mailing address

400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6452
Phone (256) 885-2222

Other identifiers 3

IdentifierTypeStateIssuer
000038457MedicaidAL
110194866OtherALRAILROAD RETIREMENT
38457OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

333 Whitesport Dr SW
Ste 304
Huntsville, AL 35801
Phone (256) 469-0350

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1396809828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW",
            "address_2": "SUITE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016452",
            "telephone_number": "256-885-2222",
            "fax_number": "256-885-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW",
            "address_2": "SUITE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016452",
            "telephone_number": "256-885-2222",
            "fax_number": "256-885-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMYUKTHA C.REDDY,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SAMYUKTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-885-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "AL10773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038457",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "110194866",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38457",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.