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Individual provider Active NPI

Chakradhar Madhavareddigari Reddy, M.D

  • Gastroenterology Physician
  • Johnson City, TN
National Provider Identifier
1548360332
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
46923 Issued in TN
Practice address
310 N State of Franklin Rd
Suite 202
Johnson City, TN 37604-6008
Phone
(423) 929-7111
Fax
(423) 929-9448
NPI assigned
Sep 22, 2006
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 46923 TN Primary
Transplant Hepatology Physician 207RT0003X 46923 TN

Addresses

Primary practice location

310 N State of Franklin Rd
Suite 202
Johnson City, TN 37604-6008

Mailing address

310 N State of Franklin Rd
Suite 202
Johnson City, TN 37604-6008
Phone (423) 929-7111

Other names 1

  • Chakradhar Reddy Madhavareddigari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001092 TN Practitioner - Internal MedicinePractitioner - Gastroenterology 2668563396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates of Northeast Tennessee, PCGroup PAC ID 7416923396, 16 clinicians

Practice addresses (Care Compare)

310 N State of Franklin Rd
Suite 202
Johnson City, TN 37604-6063
Phone (423) 929-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.67 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Upper gastrointestinal (GI) endoscopy for acid reflux196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46923TNMDTransplant Hepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Northeast Tennessee, PC CurrentSince Sep 23, 2011 Accepting new patients
Gastrointestinal Associates of Northeast Tennessee, PC Single Specialty CurrentSince Sep 23, 2011 Accepting new patients

Locations

310 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-3601

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1548360332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046008",
            "telephone_number": "423-929-7111",
            "fax_number": "423-929-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N STATE OF FRANKLIN RD",
            "address_2": "SUITE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046008",
            "telephone_number": "423-929-7111",
            "fax_number": "423-929-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHAKRADHAR",
        "middle_name": "MADHAVAREDDIGARI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "46923",
            "primary": true
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "TN",
            "license": "46923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAKRADHAR",
            "last_name": "MADHAVAREDDIGARI",
            "middle_name": "REDDY",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.