Agara S Reddy, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MOR1K15 Issued in MO

Practice address

1705 East Broadway
Suite 200
Columbia, MO 65201

Phone

(573) 875-7889

Fax

(573) 875-0149

NPI assigned

Oct 10, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Psychiatry

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serenity Health LLCGroup PAC ID 3375920861, 22 clinicians

One Behavioral of MissouriGroup PAC ID 6204313364, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: serenityhealth.agarareddy@154693.advancedmd-direct.com

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.

• One Behavioral of Missouri

  dba One Behavioral

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1144182916
  Medicare reassignment Care Compare group NPD
• Serenity Health LLC

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1104569151
  Medicare reassignment Care Compare group NPD
• M a Mirza, LLC

  dba White Oak Psychiatric Services

  • Prescribing (Medical) Psychologist
  • Lee's Summit, MO
  • NPI 1376757617
  Medicare reassignment NPD
• Osage Beach Center for Behavioral Health, LLC

  dba Osage Beach Center for Behavioral Health

  • Psychiatric Hospital
  • Osage Beach, MO
  • NPI 1790115939
  NPD (past)
• St. Louis Internal Medicine Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1104856442
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1588752364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 EAST BROADWAY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-875-7889",
            "fax_number": "573-875-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 EAST BROADWAY",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-875-7889",
            "fax_number": "573-875-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AGARA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R1K15",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MOR1K15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garry Paul Reams, M.D.
• Robert C Reams, MD
• Rebecca V. Degraaf LLC
• Rebecca Wallace Counseling LLC
• Reclaim Chiropractic
• Lindsey Michelle Redington, NP
• Lara Redlinger
• Sara Elizabeth Redmon, CNRA
• Peggy L Reed-Lohmeyer, MSW, LCSW
• Brittany Reed

• Psychiatry Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.

Verify at the official NPI Registry.