Individual provider Active NPI

Preethi Reddy Marri, M.D

  • Pediatric Hematology & Oncology Physician
  • Mobile, AL
National Provider Identifier
1497918395
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
MD.33347 Issued in AL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916002468 AL Practitioner - Pediatric Medicine 4789855339 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092946MIMDPediatrics Physician
BP10035053TXMDPediatrics Physician
MD.33347ALMDPediatric Hematology & Oncology Physician
54510MNMDPediatric Hematology & Oncology Physician
105672MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services CurrentSince Aug 1, 2014 Accepting new patients
University of South Alabama CurrentSince Jan 1, 2018 Accepting new patients
Providence Healthcare Services Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
Alabama Providence Healthcare Services CurrentSince Aug 1, 2014 Accepting new patients
University of South Alabama Pediatrics CurrentSince Jan 1, 2018 Accepting new patients
USA Health Physician Billing Services LLC Pediatrics CurrentSince Oct 1, 2019 Accepting new patients
USA Health Community Providers LLC Pediatrics CurrentSince Oct 14, 2024 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
Providence Hospital CurrentSince Aug 1, 2014 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Aug 1, 2014 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.

View all 15

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

Verify at the official NPI Registry.