Individual provider Active NPI

Gollamudi H Reddy I, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Slidell, LA
National Provider Identifier
1497773535
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
08804R Issued in LA
Practice address
2375 Gause Blvd E
Slidell, LA 70461-4142
Phone
(985) 781-5600
Fax
(985) 781-5601
NPI assigned
Jul 17, 2006
Last updated
Jul 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 08804R LA Primary

Addresses

Primary practice location

2375 Gause Blvd E
Slidell, LA 70461-4142

Mailing address

1527 Gause Blvd
Suite 225
Slidell, LA 70458-2244
Phone (985) 781-5600

Other identifiers 1

IdentifierTypeStateIssuer
1918105MedicaidLA

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
I20100927000954 LA Practitioner - Physical Medicine and Rehabilitation 0446376578 Reassigns benefits to 1 organization
Practice locations: Slidell, LA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1000 Ochsner Blvd
Covington, LA 70433-8107
Phone (985) 875-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08804RLAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 14, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic, LLC CurrentSince Mar 14, 2019 Accepting new patients
NSR Louisiana, LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1051 Gause Blvd
Ste 225
Slidell, LA 70458
Phone (504) 781-5600

1051 Gause Blvd
Ste 280
Slidell, LA 70458
Phone (504) 649-8607

2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1497773535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 GAUSE BLVD",
            "address_2": "SUITE 225",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582244",
            "telephone_number": "985-781-5600",
            "fax_number": "985-781-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614142",
            "telephone_number": "985-781-5600",
            "fax_number": "985-781-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GOLLAMUDI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "08804R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1918105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.