Rahul Prashant Vasireddy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD472071 Issued in PA

Practice address

1655 Shady Ave
Pittsburgh, PA 15217-1465

Phone

(412) 212-6637

NPI assigned

Apr 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cibola Psychiatry and Wellness PLLC

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1861184251
  NPD Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1477086411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171465",
            "telephone_number": "412-212-6637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 O'Hara street",
            "address_2": "Suite 431",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152130001",
            "country_code": "US",
            "telephone_number": "412-246-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASIREDDY",
        "first_name": "RAHUL",
        "middle_name": "PRASHANT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT221710",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD472071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Vasek II, MS, PT
• Georgia Maria Vasilakis, MD
• Eleana Vasileiadi, MD
• Mihnea Vasilescu, LCSW, MA
• Rebecca L Vasilisin
• Diego Alonso Vasquez de Bracamonte, M.D.
• Angelique Vasquez, OD
• Dawn M. Vasquez, CRNA
• Ioannis Michael Vassalos, MD
• Tameka L Vasser, CPD

• Psychiatry Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.