Individual provider Active NPI

Kavitha Bareddy, M.D.

  • Anesthesiology Physician
  • Roslyn, NY
National Provider Identifier
1497916209
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
69538 Issued in GA
Practice address
New York Cardiovascular Anesthesiologists, P.C.
100 Port Washington Blvd
Roslyn, NY 11576
Phone
(423) 504-3433
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 254575 NY
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 69538 GA Primary

Addresses

Primary practice location

New York Cardiovascular Anesthesiologists, P.C.
100 Port Washington Blvd
Roslyn, NY 11576

Mailing address

New York Cardiovascular Anesthesiologists, P.C.
100 Port Washington Blvd
Roslyn, NY 11576
Phone (423) 504-3433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130621000462 GA Practitioner - Anesthesiology 0648442392 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69538GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Anesthesiology, PC Anesthesiology CurrentSince Jun 5, 2016 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Jan 30, 2017 Accepting new patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology Past Accepting new patients

Locations

365 E Paces Ferry Rd NE
Atlanta, GA 30305
Phone (404) 814-0868

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

1635 Old Highway 41 NW
Ste 112328
Kennesaw, GA 30152
Phone (770) 732-3664

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

156 Foster Dr
Spc C
McDonough, GA 30253

1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888

6649 Lake Dr
Morrow, GA 30260

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

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.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLC 370 clinicians

Practice addresses (Care Compare)

895 Canton Rd NE
Suite 300
Marietta, GA 30060-8934
Phone 7707021806209

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1497916209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.",
            "address_2": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "423-504-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.",
            "address_2": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "423-504-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREDDY",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "254575",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "69538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.