Individual provider Active NPI

Akavaram N Reddy, MD

  • Rheumatology Physician
  • Belfast, ME
National Provider Identifier
1407816986
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD27896 Issued in ME
Practice address
116 Northport Ave Ste 220
Belfast, ME 04915-6096
Phone
(207) 505-4015
Fax
(207) 338-8368
NPI assigned
Mar 27, 2006
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD27896 ME Primary
Rheumatology Physician 207RR0500X M-9605 ID

Addresses

Primary practice location

116 Northport Ave Ste 220
Belfast, ME 04915-6096

Mailing address

8216 Hunters Grove Rd
Jacksonville, FL 32256-7205
Phone (208) 421-2347

Other identifiers 2

IdentifierTypeStateIssuer
807465000MedicaidID
P00809352OtherIDMCRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20060911000311 ID Practitioner - RheumatologyPractitioner - Internal Medicine 5890714349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians

Practice addresses (Care Compare)

1218 9TH St
Suite 10
Rupert, ID 83350-2207
Phone (208) 436-8340

1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167

1308 8TH St
Suite 1
Rupert, ID 83350-1535
Phone 20843604813167

711 G St
Rupert, ID 83350-1612

90 W 142
Rupert, ID 83350-9384

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Minidoka Memorial Hospital CurrentSince Mar 1, 2024 Accepting new patients
St Luke's Clinic LLC Internal Medicine CurrentSince Jan 4, 2010 Accepting new patients
Minidoka Memorial Hospital Past Accepting new patients
Florida Arthritis & Rheumatology Associates, LLC Rheumatology PastSince Nov 1, 2023 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

660 Shoshone St E
Ste 210
Twin Falls, ID 83301
Phone (208) 732-3236

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

775 Pole Line Rd W
Ste 115
Twin Falls, ID 83301
Phone (208) 814-8150

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1407816986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 HUNTERS GROVE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567205",
            "telephone_number": "208-421-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE STE 220",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156096",
            "telephone_number": "207-505-4015",
            "fax_number": "207-338-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AKAVARAM",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ME",
            "license": "MD27896",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "M-9605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807465000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P00809352",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.