South End Primary Health Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD056531L Issued in PA

Legal business name

SOUTH END PRIMARY HEALTH CARE, PC

Practice address

2100 Jane St
Suite 110
Pittsburgh, PA 15203-2075

Phone

(412) 586-1522

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venkatlaxman B Reddy, MDNPI 1811999790

Title

Owner

Phone

(412) 920-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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.

• Venkatlaxman Reddy, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1811999790
  Medicare reassignment Authorized official
• Deepika Pasunur, MD

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1124018932
  Medicare reassignment
• Palecanda P Chengappa, MD

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1306838065

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1598148579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 JANE ST STE 110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032076",
            "telephone_number": "412-586-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 JANE ST",
            "address_2": "SUITE 110",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032075",
            "telephone_number": "412-586-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH END PRIMARY HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "VENKATLAXMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-920-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD056531L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.