Active NPI
Sreerangapalle S Reddy, M.D.
- Surgery Physician
- New York, NY
National Provider Identifier
1619022712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 163148
- Practice address
- 1049 5TH Ave
Suite 2a
New York, NY 10028-0115 - Phone
- (212) 737-0909
- Fax
- (212) 737-3589
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 163148 | NY | Primary |
Addresses
Primary practice location
1049 5TH Ave
Suite 2a
New York, NY 10028-0115
Mailing address
PO Box 95000-2424
Philadelphia, PA 19195-2424
Phone (212) 737-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00971522 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Services of St Vincents PC | Surgery | Past | Accepting new patients |
| Upper Manhattan Medical PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1851587000
-
- Rheumatology Physician
- New York, NY
- NPI 1598952954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1619022712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2424",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952424",
"telephone_number": "212-737-0909",
"fax_number": "212-737-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 5TH AVE",
"address_2": "SUITE 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280115",
"telephone_number": "212-737-0909",
"fax_number": "212-737-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SREERANGAPALLE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "163148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00971522",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.