Sahaja S Reddy, MD
Individual provider Active NPI Psychiatry Physician · Toledo, OH
NPI 1609092998 · NPPES record last updated Nov 20, 2007
Key facts
- NPI
- 1609092998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35083625R (OH)
- Practice address
- 3454 Oak Alley CT
#209
Toledo, OH 43606 - Phone
- (419) 531-6200
- Fax
- (419) 531-6201
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711003870 | VA | Practitioner - Psychiatry | 5890774194 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35083625R | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Hospital Corporation of Virginia Beach | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Harbor | Psychiatry | Past | Accepting new patients |
Locations
1100 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 463-5240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35083625R | OH | Yes |
Addresses
Primary practice location
3454 Oak Alley CT
#209
Toledo, OH 43606
Mailing address
3454 Oak Alley CT
#209
Toledo, OH 43606
Phone (419) 531-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2462044 | Medicaid | OH |
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.