Sudesh S Reddy MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUDESH S REDDY MD INC

Practice address

402 S State St
Marion, OH 43302-5000

Phone

(740) 387-0650

Fax

(740) 387-9210

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Sudesh Reddy, MDNPI 1104015775

Title

Owner

Phone

(740) 387-0650

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Sudesh S Reddy, MD INC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1104015775
  Medicare reassignment NPD Authorized official
• Sheila Reddy, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1457648636
  Medicare reassignment NPD
• Jane Irene Wolfe, C.N.P.

  • Nurse Practitioner
  • Marion, OH
  • NPI 1912975293
  Medicare reassignment NPD
• Kelley Mamede, PA

  • Physician Assistant
  • Marion, OH
  • NPI 1003456286
  Medicare reassignment
• Karen Pauley, PA-C

  • Medical Physician Assistant
  • Marion, OH
  • NPI 1003079328
  Medicare reassignment

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1578540910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S STATE ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025000",
            "telephone_number": "740-387-0650",
            "fax_number": "740-387-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S STATE ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025000",
            "telephone_number": "740-387-0650",
            "fax_number": "740-387-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDESH S REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SUDESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-387-0650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550707",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Stroud
• Madilyn Danielle Stuiber, DPT
• Sharon Danielle Stults, LPN
• Sherrie Helen Stump, MA, F-AAA
• Johnny Sturgill
• Peyton Sullivan
• Randall Summers
• Sunbridge Marion Health Care LLC (Presidential Center)
• Sutherland Neurology, Inc
• Elena Abiad Sutherland, LISW

• Internal Medicine Physician in Marion, OH
• Providers in Marion, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.