Active NPI
Srija Reddy Kesireddy, M.D.
- Student in an Organized Health Care Education/Training Program
- Pontiac, MI
National Provider Identifier
1538055355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 461 West Huron Street Suite 107
Pontiac, MI 48341 - Phone
- (248) 724-7600
- Fax
- (248) 857-7141
- NPI assigned
- Jun 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Primary |
Addresses
Primary practice location
461 West Huron Street Suite 107
Pontiac, MI 48341
Mailing address
PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srijareddy.kesireddy.p1@direct.oihn.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 430150
Pontiac, MI 48343
PO Box
Suite 5478
Pawtucket, RI 02862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Integrated Healthcare Network | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Pontiac, MI
- NPI 1316214299
-
- Federally Qualified Health Center (FQHC)
- Pontiac, MI
- NPI 1457711202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1538055355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 430150",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483430150",
"telephone_number": "248-724-7600",
"fax_number": "248-857-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 WEST HURON STREET SUITE 107",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-724-7600",
"fax_number": "248-857-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESIREDDY",
"first_name": "SRIJA REDDY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srijareddy.kesireddy.p1@direct.oihn.nextgenshare.com",
"affiliation": "N",
"address_1": "461 W Huron St",
"city": "Pontiac",
"state": "MI",
"country_code": "US",
"postal_code": "483411601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.