Active NPI
Preetam Nallu Reddy, MD
- Psychiatry Physician
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-24516
- Practice address
- 3201 Springhill Dr Ste 400
North Little Rock, AR 72117-2910 - Phone
- (501) 945-8838
- Fax
- (501) 945-8835
- NPI assigned
- Mar 28, 2019
- Last updated
- Jul 15, 2026
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-24516 | HI | Primary |
Addresses
Primary practice location
3201 Springhill Dr Ste 400
North Little Rock, AR 72117-2910
Mailing address
78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321
Other practice location 1
900 8th Ave
Fort Worth, TX 76104-3902
Phone (817) 347-1140
Other practice location 2
78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321
Other practice location 3
2301 W Michigan Ave
Midland, TX 79701
Phone (432) 620-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124871901 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200807002078 | TX | Order and Referring Only - Psychiatry | 5991120982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-24516 | HI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kona Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1457812703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78-6831 ALII DR STE 328",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967404408",
"telephone_number": "808-747-8321",
"fax_number": "808-331-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 SPRINGHILL DR STE 400",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172910",
"telephone_number": "501-945-8838",
"fax_number": "501-945-8835"
}
],
"practiceLocations": [
{
"address_1": "900 8th Ave",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043902",
"country_code": "US",
"telephone_number": "817-347-1140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "78-6831 Alii Dr Ste 328",
"address_purpose": "LOCATION",
"city": "Kailua Kona",
"state": "HI",
"postal_code": "967404408",
"country_code": "US",
"telephone_number": "808-747-8321",
"fax_number": "808-331-8682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 W Michigan Ave",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "79701",
"country_code": "US",
"telephone_number": "432-620-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "PREETAM",
"middle_name": "NALLU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-24516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124871901",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.