Individual provider Active NPI

Ramani Majjica Reddy, M.D., PH. D.

  • Internal Medicine Physician
  • Lenoir City, TN
National Provider Identifier
1417955154
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27997 Issued in TN
Practice address
689 Medical Park Dr
Ste 301
Lenoir City, TN 37772-5795
Phone
(865) 988-6330
Fax
(865) 988-8772
NPI assigned
Jul 7, 2005
Last updated
Feb 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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 27997 TN Primary

Addresses

Primary practice location

689 Medical Park Dr
Ste 301
Lenoir City, TN 37772-5795

Mailing address

PO Box 440332
Nashville, TN 37244-0332
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3808077MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060125000254 TN Practitioner - Internal Medicine 6709800279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27997TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Aug 1, 2006 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
University Health System, Inc Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients

Locations

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1559 Highland Park Dr
Lenoir City, TN 37772
Phone (865) 635-8389

5779 Creekwood Park Blvd
Lenoir City, TN 37772
Phone (865) 988-6330

689 Medical Park Dr
Ste 301
Lenoir City, TN 37772
Phone (865) 988-6330

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1417955154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440332",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440332",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 MEDICAL PARK DR",
            "address_2": "STE 301",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725795",
            "telephone_number": "865-988-6330",
            "fax_number": "865-988-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAMANI",
        "middle_name": "MAJJICA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3808077",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.