Active NPI
Akavaram N Reddy, MD
- Rheumatology Physician
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD27896
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807465000 | Medicaid | ID | |
| P00809352 | Other | ID | MCRR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minidoka Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Minidoka Memorial Hospital | Current | Accepting new patients | |
| St Luke's Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Minidoka Memorial Hospital | Past | Accepting new patients | |
| Florida Arthritis & Rheumatology Associates, LLC | Rheumatology | Past | 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.
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
dba St Lukes Clinic - Magic Valley/Jerome
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
Internal Medicine
-
- Rheumatology Physician
- Loxahatchee, FL
- NPI 1396159067
-
dba Minidoka Medical Center
- Rural Health Clinic/Center
- Rupert, ID
- NPI 1043387426
-
dba St Lukes Retail Pharmacy Twin Falls
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.