Individual provider Active NPI

Gopal B Reddy, M.D.

  • Infectious Disease Physician
  • Silver Spring, MD
National Provider Identifier
1588758874
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0053670 Issued in MD
Practice address
11890 Healing Way
Silver Spring, MD 20904-7917
Phone
(443) 964-5950
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0053870 MD
Infectious Disease Physician 207RI0200X D0053670 MD Primary

Addresses

Primary practice location

11890 Healing Way
Silver Spring, MD 20904-7917

Mailing address

3107 Wynford Dr
Fairfax, VA 22031-2825
Phone (443) 646-5001

Other practice location 1

3107 Wynford Dr
Fairfax, VA 22031-2825
Phone (443) 646-5001

Other identifiers 2

IdentifierTypeStateIssuer
033777300MedicaidDC
136603300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20100907000724 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 0244318426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Howard University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053670MDMDInfectious Disease Physician
D0053870MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gopal B. Reddy , M.D., P.C. Infectious Disease CurrentSince Jan 1, 2002 Accepting new patients
Sunrise Medical Group, LLC PastSince Aug 15, 1998 Accepting new patients

Locations

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

1111 Spring St
Ste 216
Silver Spring, MD 20910
Phone (301) 552-5696

8604 2nd Ave
Silver Spring, MD 20910
Phone (301) 565-3440

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.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1588758874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 WYNFORD DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312825",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 HEALING WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "443-964-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3107 Wynford Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312825",
            "country_code": "US",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GOPAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0053870",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0053670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033777300",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136603300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.