Individual provider Active NPI

Giridhar Guntreddi, M.D

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1467706846
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11861300 Issued in NJ
Practice address
3401 Civic Center Blvd
Philadelphia, PA 19104-3364
Phone
(218) 694-2384
NPI assigned
Nov 6, 2012
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA11861300 NJ Primary
Pediatrics Physician 208000000X 57756 MN
Emergency Medicine Physician 207P00000X MD462417 PA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD462417 PA
Hospitalist Physician 208M00000X 57756 MN
Student in an Organized Health Care Education/Training Program 390200000X #39

Addresses

Primary practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-3364

Mailing address

3401 Civic Center Blvd
Suite-M975
Philadelphia, PA 19104-3364
Phone (973) 573-1527

Other practice location 1

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2100

Other practice location 2

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140916002583 MN Practitioner - Pediatric Medicine 8921227364 Reassigns benefits to 2 organizations
I20171009003163 PA Practitioner - Emergency MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 8921227364 Reassigns benefits to 4 organizations
I20230525002010 NJ Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 8921227364 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11861300NJMDPediatrics Physician
57756MNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Childens Health Care Associates of New Jersey PC Pediatric Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Childrens Health Care Associates, Inc CurrentSince Dec 1, 2024 Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Dec 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Aug 30, 2017 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. Pediatric Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Aug 30, 2017 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Sanford Health Network Emergency Medicine Current Accepting new patients
Childrens Health Care Associates of New Jersey PC Pediatrics Current Accepting new patients
Sanford Health Network CurrentSince Jul 1, 2022 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health Network Pediatrics CurrentSince Jul 1, 2022 Accepting new patients
Children's Healthcare Associates of New Jersey PC Pediatrics CurrentSince Dec 1, 2024 Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations

1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

65 James St
Edison, NJ 08820
Phone (732) 321-7010

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 Civic Center Blvd
Ste 975
Philadelphia, PA 19104

2929 Arch St
Fl 12
Philadelphia, PA 19104

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1467706846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "SUITE-M975",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043364",
            "telephone_number": "973-573-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043364",
            "telephone_number": "218-694-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Langhorne Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471201",
            "country_code": "US",
            "telephone_number": "215-710-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Anne St NW",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566015103",
            "country_code": "US",
            "telephone_number": "218-333-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTREDDI",
        "first_name": "GIRIDHAR",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11861300",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "57756",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD462417",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "MD462417",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "57756",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "#39",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.