Active NPI
Kavitha Bareddy, M.D.
- Anesthesiology Physician
- Roslyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 69538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 69538 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Holdings LLC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Georgia, LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Roslyn, NY
- NPI 1801834411
Anesthesiology
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mak Anesthesia Holdings, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.