Individual provider Active NPI

Vidya M Reddy, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1609875533
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
231766 Issued in NY
Practice address
1834 Rockaway Pkwy
Brooklyn, NY 11236-5006
Phone
(718) 251-1515
Fax
(718) 251-1506
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231766 NY Primary

Addresses

Primary practice location

1834 Rockaway Pkwy
Brooklyn, NY 11236-5006

Mailing address

1834 Rockaway Pkwy
Brooklyn, NY 11236-5006
Phone (718) 251-1515

Other identifiers 1

IdentifierTypeStateIssuer
02550489MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000528 NY Practitioner - Internal Medicine 6002898673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambria Medical Care PCGroup PAC ID 0547418097, 2 clinicians

Practice addresses (Care Compare)

1834 Rockaway Pkwy
Brooklyn, NY 11236-5006
Phone (718) 251-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cambria Medical Care PC Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients
Vytaliz Medical Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
A & V Medical Associates, P.C. Past Accepting new patients

Locations

1834 Rockaway Pkwy
Brooklyn, NY 11236
Phone (347) 713-5828

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1609875533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365006",
            "telephone_number": "718-251-1515",
            "fax_number": "718-251-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365006",
            "telephone_number": "718-251-1515",
            "fax_number": "718-251-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIDYA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02550489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.