NPIMap

Individual provider Active NPI

Amit Reddy, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Aurora, CO
National Provider Identifier
1457714081
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
DR.0066497 Issued in CO
Practice address
1675 Aurora CT
Aurora, CO 80045-2517
Phone
(720) 734-4924
NPI assigned
Mar 31, 2016
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A168469 CA
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 13218 SD
Retina Specialist (Ophthalmology) Physician 207WX0107X DR.0066497 CO Primary

Addresses

Primary practice location

1675 Aurora CT
Aurora, CO 80045-2517

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2800 3rd St
Rapid City, SD 57701-7374
Phone (605) 341-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210726001709 CO Practitioner - Ophthalmology 0749552339 Reassigns benefits to 2 organizations
I20220331000850 SD Practitioner - Ophthalmology 0749552339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

2800 3Rd St
Rapid City, SD 57701-7374
Phone (605) 341-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168469CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Regional Eye Institute, LLP Ophthalmology CurrentSince Apr 1, 2022 Accepting new patients
University Physicians Incorporated CurrentSince Aug 30, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince Aug 30, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2021 Accepting new patients
Black Hills Regional Eye Institute, LLP Ophthalmology CurrentSince Apr 1, 2022 Accepting new patients
University Physicians Incorporated Ophthalmology Current Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1675 Aurora Ct
Aurora, CO 80045
Phone (303) 724-9318

1675 Aurora Ct
Ste F731
Aurora, CO 80045
Phone (303) 724-9318

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

2800 3rd St
Rapid City, SD 57701
Phone (605) 341-2000

Interoperability endpoints

  • Direct secure messaging: areddy@bhrei.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1457714081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452517",
            "telephone_number": "720-734-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 3rd St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017374",
            "country_code": "US",
            "telephone_number": "605-341-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A168469",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "SD",
            "license": "13218",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0066497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.