Active NPI
Atigadda Reddy, MD
- Gastroenterology Physician
- Reno, NV
National Provider Identifier
1609853480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 3738
- Practice address
- 10619 Professional Cir
Reno, NV 89521-5831 - Phone
- (775) 852-4848
- Fax
- (775) 850-5763
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 3738 | NV | Primary |
Addresses
Primary practice location
10619 Professional Cir
Reno, NV 89521-5831
Mailing address
10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 852-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016705 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3738 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Consultants, LTD | Current | Accepting new patients |
Locations
880 Ryland St
Reno, NV 89502
Phone (775) 329-4600
10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1609853480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10619 PROFESSIONAL CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895215831",
"telephone_number": "775-852-4848",
"fax_number": "775-850-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10619 PROFESSIONAL CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895215831",
"telephone_number": "775-852-4848",
"fax_number": "775-850-5763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "ATIGADDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "3738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016705",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.