Soma Narasimha Reddy, M.D.,

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101025624 Issued in VA

Practice address

8907 Periwinkle Blue CT
Lorton, VA 22079-5700

Phone

(240) 210-1641

NPI assigned

Jun 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452297600000",
    "number": "1598760597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 PERIWINKLE BLUE CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220795700",
            "telephone_number": "240-210-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 PERIWINKLE BLUE CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220795700",
            "telephone_number": "240-210-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SOMA",
        "middle_name": "NARASIMHA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D17986",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101025624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036211500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyaun Rafii, DPM
• Shahryar Raja
• Melissa Rakow, BEHAVIOR TECHNICIAN
• Heba K Rashed, DDS
• Rahim Raza
• Swathi R Reddy, DDS
• Meghan Elizabeth Redmond, PT, DPT
• Esther Reed, PT, DPT
• Edward A Reeves, DDS
• Glen Irving Reeves, M.D., M.P.H.

• Pediatrics Physician in Lorton, VA
• Providers in Lorton, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.