Active NPI
Jayanti Reddy, MD
- Hospitalist Physician
- Kenosha, WI
National Provider Identifier
1609944362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 49923
- Practice address
- 6308 8TH Ave
Kenosha, WI 53143-5031 - Phone
- (414) 266-6229
- Fax
- (414) 266-7638
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 49923 | WI | Primary |
Addresses
Primary practice location
6308 8TH Ave
Kenosha, WI 53143-5031
Mailing address
PO Box 88339
Milwaukee, WI 53288-0001
Phone (414) 266-6229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34488900 | Medicaid | WI |
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 |
|---|---|---|---|
| 49923 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chorus Community Health Plans | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Milwaukee, WI
- NPI 1770784167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609944362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88339",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532880001",
"telephone_number": "414-266-6229",
"fax_number": "414-266-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "414-266-6229",
"fax_number": "414-266-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "JAYANTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "49923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34488900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.