Suman M Reddy, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

217498 Issued in NY

Practice address

1578 Williamsbridge Rd
Bronx, NY 10461

Phone

(718) 822-1469

Fax

(718) 822-8838

NPI assigned

Aug 16, 2006

Last updated

Jan 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

NephrologyAlso: Internal Medicine

Education

Rutgers New Jersey Medical School, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urban Health Plan IncGroup PAC ID 3173517281, shared by 25 NPIs, 158 clinicians

Kidney Medical Associates PLLCGroup PAC ID 5698071868, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cassena Kidney Care at Workmen’s Circle Dialysis facility, Bronx, NY, CCN 332695
• Bay Park Dialysis Center Dialysis facility, Bronx, NY, CCN 332806
• DaVita Waters Place Dialysis Center Dialysis facility, Bronx, NY, CCN 332708
• DaVita Boston Post Road Dialysis Center Dialysis facility, Bronx, NY, CCN 332588
• Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: suman.reddy@direct.davitaphysiciansolutions.com

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.

• Kidney Medical Associates PLLC

  • Specialist
  • Bronx, NY
  • NPI 1578933461
  Medicare reassignment Care Compare group NPD
• Allison J. Beitler, MD, PLLC

  • Rheumatology Physician
  • Bronx, NY
  • NPI 1659388437
  NPD (past)
• Bronx Nephrology Hypertension PC

  • Nephrology Physician
  • Bronx, NY
  • NPI 1912187956
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knickerbocker Dialysis Inc

  dba Boston Post Road Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1467489369

  Dialysis facility

  Care Compare affiliation Name & address match
• Knickerbocker Dialysis Inc

  dba Waters Place Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1700227287

  Dialysis facility

  Care Compare affiliation Name & address match
• Woodmere Dialysis,LLC

  dba Bay Bark Dalysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1699318675

  Dialysis facility

  Care Compare affiliation Name & address match
• Workmens Circle Dialysis Management LLC

  dba Cassena Kidney Care at Workmens Circle

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1013383520

  Dialysis facility

  Care Compare affiliation Name & address match
• Montefiore Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1952476988
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1447363247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-822-1469",
            "fax_number": "718-822-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-822-1469",
            "fax_number": "718-822-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUMAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "217498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandadi Venkateswara Reddy
• Shamantha G Reddy, MD
• Shloka Reddy
• Sowmya Krishna Reddy, M.D.
• Srinivas H Reddy, M.D.
• Susheela Reddy, MD
• Robin Redenburg
• Tahirah Redhead
• Florence Redmond, APRN
• Samuel Rednor

• Nephrology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.

Verify at the official NPI Registry.