Active NPI
Radhika Reddy Gadesam, MD
- Internal Medicine Physician
- Cheverly, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0074447
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (615) 377-5658
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0074447 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
349 Decatur Street SE
Apt 1418
Atlanta, GA 30312
Phone (404) 451-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6211 Thomaston Rd
Macon, GA 31220-7702
Phone (404) 200-1373
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-7444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Cogent Healthcare of Macon, LLC | Internal Medicine | Current | Accepting new patients |
| Reddy Valadri Primary Care | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Navicent Health Baldwin, Inc | Past | Accepting new patients |
Locations
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
6211 Thomaston Rd
Macon, GA 31220
Phone (404) 200-1373
777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
312 Margie Dr
Warner Robins, GA 31088
Phone (478) 272-2707
549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100
100 N Academy Ave
Danville, PA 17822
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
Interoperability endpoints
- radhika.gadesam@rvpc.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1073564217
-
- Adult Medicine Physician
- Macon, GA
- NPI 1417656422
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba PrimeMed Medical Grp Peckville in collaboration w/Geisinger Clinic
- Family Medicine Physician
- Peckville, PA
- NPI 1528475100
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
dba Atrium Health Navicent Baldwin
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent Baldwin
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1427285006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 DECATUR STREET SE",
"address_2": "APT 1418",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "404-451-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DR",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851189",
"telephone_number": "615-377-5658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADESAM",
"first_name": "RADHIKA",
"middle_name": "REDDY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0074447",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.