Active NPI
Sriyutha Reddy, MD
- Internal Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S1496
- Practice address
- 1101 Camino la Costa
Austin, TX 78752-3930 - Phone
- (512) 478-4939
- NPI assigned
- Apr 28, 2016
- Last updated
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | S1496 | TX | Primary |
Addresses
Primary practice location
1101 Camino la Costa
Austin, TX 78752-3930
Mailing address
1101 Camino la Costa
Austin, TX 78752-3930
Phone (512) 478-4939
Other practice location 1
234 Goodman St
ML 0781
Cincinnati, OH 45219-2364
Phone (513) 584-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 W 34TH St
Suite 100
Austin, TX 78705-1241
Phone (512) 988-5355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers of South Central Texas PLLC | Internal Medicine | Current | Accepting new patients |
| Pak Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
4534 West Gate Blvd
Austin, TX 78745
Phone (512) 358-0520
720 W 34th St
Ste 100
Austin, TX 78705
Phone (512) 381-5599
1762 E Common St
New Braunfels, TX 78130
Phone (830) 730-4131
1770 State Highway 46 W
Ste 1201
New Braunfels, TX 78132
Phone (830) 730-4125
Interoperability endpoints
- sreddy668682@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Village Medical
- Family Medicine Physician
- Austin, TX
- NPI 1790318566
Internal Medicine
-
dba Pak Medical Group
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1992297816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1609221514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 CAMINO LA COSTA",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523930",
"telephone_number": "512-478-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CAMINO LA COSTA",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523930",
"telephone_number": "512-478-4939"
}
],
"practiceLocations": [
{
"address_1": "234 Goodman St",
"address_2": "ML 0781",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192364",
"country_code": "US",
"telephone_number": "513-584-4505",
"fax_number": "513-584-0468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "SRIYUTHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S1496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.