Active NPI
Dheeraj Soma Reddy, M.D.
- Family Medicine Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME96289
- Practice address
- 1720 E Venice Ave FL 2
Venice, FL 34292-3190 - Phone
- (941) 483-9730
- Fax
- (941) 483-9745
- NPI assigned
- Aug 14, 2006
- Last updated
- Mar 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME96289 | FL | Primary |
Addresses
Primary practice location
1720 E Venice Ave FL 2
Venice, FL 34292-3190
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dheeraj.reddy.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476
1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222
2335 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 787-7665
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029
4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100
4881 Palm Beach Blvd
Suite 100
Fort Myers, FL 33905-3217
Phone (239) 693-9191
8383 S Tamiami TRL
Sarasota, FL 34238-2901
Phone (941) 244-9430
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2237 Lithia Center Ln
Valrico, FL 33596
Phone (813) 662-0123
1720 E Venice Ave
Fl 2
Venice, FL 34292
Phone (844) 366-9362
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dheeraj.reddy.1@4290.direct.athenahealth.com
- dheeraj.reddy.1@4692.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba Sarasota Memorial Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
dba Sarasota Memorial Hospital - Venice
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1457364028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E VENICE AVE FL 2",
"city": "VENICE",
"state": "FL",
"postal_code": "342923190",
"telephone_number": "941-483-9730",
"fax_number": "941-483-9745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "DHEERAJ",
"middle_name": "SOMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME96289",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dheeraj.reddy.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1720 E Venice Ave Fl 2",
"city": "Venice",
"state": "FL",
"country_code": "US",
"postal_code": "342923190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.