Active NPI
Sreejaya Reddy, MD
- Internal Medicine Physician
- Glasgow, KY
National Provider Identifier
1457369183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21028
- Practice address
- 101 State Avenue
Ste B
Glasgow, KY 42141 - Phone
- (270) 651-1437
- Fax
- (280) 651-2617
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21028 | KY | Primary |
Addresses
Primary practice location
101 State Avenue
Ste B
Glasgow, KY 42141
Mailing address
101 State Avenue
Ste B
Glasgow, KY 42141
Phone (270) 651-1437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64210289 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457369183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 STATE AVENUE",
"address_2": "STE B",
"city": "GLASGOW",
"state": "KY",
"postal_code": "42141",
"telephone_number": "270-651-1437",
"fax_number": "280-651-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 STATE AVENUE",
"address_2": "STE B",
"city": "GLASGOW",
"state": "KY",
"postal_code": "42141",
"telephone_number": "270-651-1437",
"fax_number": "280-651-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SREEJAYA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "21028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64210289",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.