Individual provider Active NPI

Lalitha M Reddy, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1487754693
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1514601 Issued in NY
Practice address
9413 Flatlands Ave
Brooklyn, NY 11236-3726
Phone
(718) 257-6615
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1514601 NY Primary

Addresses

Primary practice location

9413 Flatlands Ave
Brooklyn, NY 11236-3726

Mailing address

9413 Flatlands Avenue
Suite 101 West
Brooklyn, NY 11236-3726
Phone (718) 257-6615

Other identifiers 1

IdentifierTypeStateIssuer
0076753MedicaidNY

Other names 1

  • Pav Singh Other name

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
I20120605000140 NY Practitioner - Infectious Disease 8224292206 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1514601NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C B Reddy PC Internal Medicine CurrentSince Apr 15, 2012 Accepting new patients
Vantage Medical Associates PC PastSince Apr 15, 2012 Accepting new patients

Locations

9413 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 250-3712

9413 Flatlands Ave
Ste 101W
Brooklyn, NY 11236
Phone (718) 257-6615

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1487754693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVENUE",
            "address_2": "SUITE 101 WEST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363726",
            "telephone_number": "718-257-6615",
            "fax_number": "718-272-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363726",
            "telephone_number": "718-257-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "LALITHA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1514601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAV",
            "last_name": "SINGH",
            "credential": "OFFICE MANAGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.