NPIMap

Individual provider Active NPI

Vani Sree Reddi, M.D.

  • Internal Medicine Physician
  • North Andover, MA
National Provider Identifier
1407803299
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154422 Issued in MA
Practice address
451 Andover St
North Andover, MA 01845-5044
Phone
(978) 725-3636
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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 154422 MA Primary

Addresses

Primary practice location

451 Andover St
North Andover, MA 01845-5044

Mailing address

4 Worthen PL
Andover, MA 01810-2846
Phone (978) 725-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000546 MA Practitioner - Internal Medicine 6204737406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

451 Andover St
Suite 206
North Andover, MA 01845-5071
Phone (978) 725-3636

Hospital & facility affiliations

  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154422MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Medical Associates Internal Medicine CurrentSince Dec 15, 2003 Accepting new patients
Massachusetts Em-1 Medical Services Past Accepting new patients
Valley Regional Medical Services Past Accepting new patients

Locations

451 Andover St
Ste 206
North Andover, MA 01845
Phone (978) 725-3636

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIBA/Endpoint/HBFIBA

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 7

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1407803299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WORTHEN PL",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102846",
            "telephone_number": "978-725-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-725-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDI",
        "first_name": "VANI SREE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "154422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.