Individual provider Active NPI

Hanisha Jyosita Reddy Geedipally, MD

  • Internal Medicine Physician
  • Union City, CA
National Provider Identifier
1407529902
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A195443 Issued in CA
Practice address
33077 Alvarado Niles Rd
Union City, CA 94587-3109
Phone
(510) 248-1500
Fax
(510) 675-0846
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A195443 CA Primary

Addresses

Primary practice location

33077 Alvarado Niles Rd
Union City, CA 94587-3109

Mailing address

39300 Civic Center Dr Ste 370
Fremont, CA 94538-2397
Phone (510) 248-1000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241119004127 CA Practitioner - Internal Medicine 2365809662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

33077 Alvarado Niles Rd
Union City, CA 94587-3109
Phone (510) 487-6000

Hospital & facility affiliations

  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A195443CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation Internal Medicine CurrentSince Sep 30, 2024 Accepting new patients
Washington Township Medical Foundation CurrentSince Sep 30, 2024 Accepting new patients
Washington Township Medical Group Past Accepting new patients

Locations

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000

33077 Alvarado Niles Rd
Union City, CA 94587
Phone (510) 248-1500

Interoperability endpoints

  • Direct secure messaging: hgeedipally151801@direct.whhs.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1407529902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 CIVIC CENTER DR STE 370",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382397",
            "telephone_number": "510-248-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33077 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873109",
            "telephone_number": "510-248-1500",
            "fax_number": "510-675-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEDIPALLY",
        "first_name": "HANISHA",
        "middle_name": "JYOSITA REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A195443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

Verify at the official NPI Registry.