Individual provider Active NPI

Ravi Kumar Reddy Gangireddy, MD

  • Hospitalist Physician
  • Syracuse, NY
National Provider Identifier
1477562304
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
256990 Issued in NY
Practice address
301 Prospect Ave
Hospital Internists
Syracuse, NY 13203-1807
Phone
(315) 448-5704
Fax
(315) 423-6853
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 256990 NY Primary
Internal Medicine Physician 207R00000X 256990 NY

Addresses

Primary practice location

301 Prospect Ave
Hospital Internists
Syracuse, NY 13203-1807

Mailing address

301 Prospect Ave
Hospital Internists
Syracuse, NY 13203-1807
Phone (315) 448-5704

Other identifiers 2

IdentifierTypeStateIssuer
03230628MedicaidNY
P00853861OtherNYRAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000546 NY Practitioner - Internal MedicinePractitioner - Hospitalist 0547265233 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical Physician Associates PC 208 clinicians
Crouse Health Hospital Inc 155 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jan 1, 2024 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 17, 2024 Accepting new patients
MVHS Inc CurrentSince Jan 1, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Sep 20, 2023 Accepting new patients
New York Medical Physician Associates PC Internal Medicine Current Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Nov 15, 2022 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Jun 17, 2024 Accepting new patients
Rochester General Hospital CurrentSince Nov 15, 2022 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
St. Joseph'S Physician Health, P.C. Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
MVHS Inc Past Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Past Accepting new patients
MVHS Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: rgangireddy43999@mvhealthsystem.direct-ci.com
  • Direct secure messaging: rgangireddy199352@direct-guthrie.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1477562304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "HOSPITAL INTERNISTS",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5704",
            "fax_number": "315-423-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "address_2": "HOSPITAL INTERNISTS",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-448-5704",
            "fax_number": "315-423-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGIREDDY",
        "first_name": "RAVI",
        "middle_name": "KUMAR REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "256990",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03230628",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00853861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.