Individual provider Active NPI

Lakshmi K Reddy, MD

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1407876824
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N 5355 Issued in TX
Practice address
21336 Provincial Blvd
Katy, TX 77450-7580
Phone
(281) 809-0085
Fax
(281) 809-0083
NPI assigned
Jul 20, 2006
Last updated
Jan 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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 N 5355 TX Primary

Addresses

Primary practice location

21336 Provincial Blvd
Katy, TX 77450-7580

Mailing address

21336 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 809-0085

Other identifiers 3

IdentifierTypeStateIssuer
00A942950MedicaidCA
00J21AOtherTXGROUP MEDICARE PIN
094010801OtherTXGROUP MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100723000212 TX Practitioner - Internal Medicine 8527161546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Internal Medicine Associates PAGroup PAC ID 8123298916, 2 clinicians

Practice addresses (Care Compare)

21336 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 809-0085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N 5355TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Internal Medicine Associates PA Internal Medicine CurrentSince Jun 1, 2011 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Community Hospitalist Medical Group Inc. Internal Medicine Past Accepting new patients
Upmc Community Medicine Inc Internal Medicine Past Accepting new patients

Locations

21216 Northwest Fwy
Ste 230
Cypress, TX 77429
Phone (832) 377-3260

21336 Provincial Blvd
Katy, TX 77450
Phone (281) 809-0085

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1407876824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21336 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-809-0085",
            "fax_number": "281-809-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21336 PROVINCIAL BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507580",
            "telephone_number": "281-809-0085",
            "fax_number": "281-809-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "LAKSHMI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N 5355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A942950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "00J21A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "094010801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.