Individual provider Active NPI

Ravindra R Reddy, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1487679478
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15088R Issued in LA
Practice address
3520 General Degaulle Dr
Suite 4098
New Orleans, LA 70114-6757
Phone
(504) 362-8046
Fax
(504) 362-2215
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15088R LA Primary

Addresses

Primary practice location

3520 General Degaulle Dr
Suite 4098
New Orleans, LA 70114-6757

Mailing address

3520 General Degaulle Dr
Suite 4098
New Orleans, LA 70114-6757
Phone (504) 362-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040918000025 LA Practitioner - Psychiatry 0244208213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 Metairie Lawn Dr
Suite a
Metairie, LA 70001-5448
Phone (504) 362-8046

2401 Westbend Pkwy
Suite 4098
New Orleans, LA 70114-2470
Phone (504) 362-4122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15088RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ravindra R Reddy MD a Professional Medical Corporation CurrentSince Jan 1, 2011 Accepting new patients
Master Clinicians LLC PastSince Jan 15, 2023 Accepting new patients
Capital Area Human Services District PastSince Oct 22, 2010 Accepting new patients
Capital Area Human Services District Past Accepting new patients

Locations

2401 Westbend Pkwy
Ste 4098
New Orleans, LA 70114
Phone (504) 220-1678

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1487679478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4098",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-8046",
            "fax_number": "504-362-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GENERAL DEGAULLE DR",
            "address_2": "SUITE 4098",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701146757",
            "telephone_number": "504-362-8046",
            "fax_number": "504-362-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAVINDRA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "15088R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.