Individual provider Active NPI

Movva Navin Reddy, MD

  • Emergency Medicine Physician
  • Durham, NC
National Provider Identifier
1487696399
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME93812 Issued in FL
Practice address
3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508
Phone
(919) 425-1565
Fax
(919) 425-0478
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME93812 FL Primary

Addresses

Primary practice location

3114 Croasdaile Dr
Suite 200
Durham, NC 27705-2508

Mailing address

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (919) 425-1565

Other practice location 1

17021 US Highway 441
Mount Dora, FL 32757-6734
Phone (352) 720-7999

Other identifiers 1

IdentifierTypeStateIssuer
110843500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050927000901 FL Practitioner - Emergency Medicine 9830124064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers School of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leesburg Regional Medical Center Physician Services LLC Emergency Medicine CurrentSince Mar 11, 2025 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jun 25, 2016 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 18, 2020 Accepting new patients
Mid-Florida Gastroenterology Group P a Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

550 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-2273

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mreddy562734@direct.shands.ufl.edu

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.

Hospital & facility affiliations 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1487696399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "919-425-1565",
            "fax_number": "919-425-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 CROASDAILE DR",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052508",
            "telephone_number": "919-425-1565",
            "fax_number": "919-425-0478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17021 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576734",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MOVVA",
        "middle_name": "NAVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME93812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110843500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.