Active NPI
Preethi Reddy Marri, M.D
- Pediatric Hematology & Oncology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- MD.33347
- Practice address
- 1601 Center St
Mobile, AL 36604-1541 - Phone
- (251) 410-5437
- Fax
- (251) 434-3852
- NPI assigned
- Jul 10, 2008
- Last updated
- Feb 23, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301092946 | MI | |
| Pediatrics Physician | 208000000X | BP10035053 | TX | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 54510 | MN | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD.33347 | AL | Primary |
Addresses
Primary practice location
1601 Center St
Mobile, AL 36604-1541
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092946 | MI | MD | Pediatrics Physician |
| BP10035053 | TX | MD | Pediatrics Physician |
| MD.33347 | AL | MD | Pediatric Hematology & Oncology Physician |
| 54510 | MN | MD | Pediatric Hematology & Oncology Physician |
| 105672 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Providence Healthcare Services | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| Providence Healthcare Services | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Alabama Providence Healthcare Services | Current | Accepting new patients | |
| University of South Alabama | Pediatrics | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Pediatrics | Current | Accepting new patients |
| USA Health Community Providers LLC | Pediatrics | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Providence Hospital | Current | Accepting new patients | |
| Providence Hospital | Current | Accepting new patients | |
| Providence Hospital | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| University of South Alabama | Past | Accepting new patients | |
| USA Health HCA Providence Hospital LLC | Past | Accepting new patients |
Locations
1601 Center St
Mobile, AL 36604
Phone (251) 410-5437
1601 Center St
Ste 3N
Mobile, AL 36604
Phone (251) 665-8251
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
Organizations & group practices 15
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.
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1245669514
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1952390643
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Pediatrics
-
dba Ascension Providence Diabetes Management Program
- Endocrinology, Diabetes & Metabolism Physician
- Mobile, AL
- NPI 1609446087
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1508878083
-
- Hospitalist Physician
- Mobile, AL
- NPI 1871922971
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1992133912
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
-
dba USA Health
- Internal Medicine Physician
- Mobile, AL
- NPI 1700241015
Pediatrics
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1497918395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40480",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400480",
"telephone_number": "251-434-3626",
"fax_number": "251-445-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CENTER ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041541",
"telephone_number": "251-410-5437",
"fax_number": "251-434-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRI",
"first_name": "PREETHI REDDY",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301092946",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP10035053",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MN",
"license": "54510",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "AL",
"license": "MD.33347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.