Citrus Nephrology Associates Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CITRUS NEPHROLOGY ASSOCIATES INC

Practice address

7415 W Gulf to Lake Hwy
Crystal River, FL 34429-7834

Phone

(352) 795-1415

Fax

(352) 795-6801

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Padma V Reddy, MDNPI 1215029400

Title

President

Phone

(352) 795-1415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Padma Venuaopala Reddy, MD

  • Nephrology Physician
  • Crystal River, FL
  • NPI 1215029400
  Medicare reassignment Care Compare group NPD Authorized official
• John N Steward, MSN, FNP-BC

  • Family Nurse Practitioner
  • Crystal River, FL
  • NPI 1003893660
  Medicare reassignment Care Compare group NPD
• Lisa Anne Wyckoff, RD, CSR, LD

  • Renal Nutrition Registered Dietitian
  • Crystal River, FL
  • NPI 1396890273
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1528116027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297834",
            "telephone_number": "352-795-1415",
            "fax_number": "352-795-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297834",
            "telephone_number": "352-795-1415",
            "fax_number": "352-795-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS NEPHROLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PADMA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250407300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Citrus Hma LLC (Bravera Health Seven Rivers)
• Citrus Hospitalists PA
• Citrus Infectious Disease LLC
• Citrus Medical Supplies, Inc
• Citrus Multi Care LLC (Citrus Care Clinic LLC)
• Citrus Oral and Facial Surgery at Ocala, LLC
• Citrus Oral and Maxillofacial Surgery PA
• Citrus Path LLC
• Citrus Pest Management Inc.
• Citrus Rehabilitation

• Nephrology Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.