Individual provider Active NPI

Adisesha B Reddy, MD

  • Gastroenterology Physician
  • Tuscaloosa, AL
National Provider Identifier
1407968167
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10176 Issued in AL
Practice address
100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375
Phone
(205) 345-0010
Fax
(205) 986-0081
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10176 AL Primary

Addresses

Primary practice location

100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375

Mailing address

100 Rice Mine Rd N Ste E
Tuscaloosa, AL 35406-2375
Phone (205) 345-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040611000437 AL Practitioner - Gastroenterology 1557344397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrocare PCGroup PAC ID 4981687712, 5 clinicians

Practice addresses (Care Compare)

120 Rice Mine Rd N
Tuscaloosa, AL 35406-3901
Phone (205) 752-1175

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10176ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of Tuscaloosa LLC Current Accepting new patients
Medfusions PastSince May 1, 2019 Accepting new patients
Institute of Anesthesia Services, LLC PastSince Feb 25, 2014 Accepting new patients

Locations

120 Rice Mine Rd N
Tuscaloosa, AL 35406
Phone (205) 345-0010

100 Rice Mine Rd N
Ste E
Tuscaloosa, AL 35406
Phone (205) 345-0010

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1407968167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-345-0010",
            "fax_number": "205-752-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-345-0010",
            "fax_number": "205-986-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ADISESHA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.