Individual provider Active NPI

Raghuveer M Reddy, MD

  • Gastroenterology Physician
  • Lufkin, TX
National Provider Identifier
1619979101
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G7316 Issued in TX
Practice address
319 Gaslight Blvd
Lufkin, TX 75901-3124
Phone
(936) 634-3713
Fax
(936) 634-8136
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G7316 TX Primary

Addresses

Primary practice location

319 Gaslight Blvd
Lufkin, TX 75901-3124

Mailing address

319 Gaslight Blvd
Lufkin, TX 75901
Phone (936) 634-3713

Other identifiers 2

IdentifierTypeStateIssuer
098561601MedicaidTX
8J3485OtherTXBLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000241 TX Practitioner - Gastroenterology 9537210729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Malladi and Reddy, PAGroup PAC ID 5395917843, 4 clinicians

Practice addresses (Care Compare)

319 Gaslight Blvd
Lufkin, TX 75904-3124
Phone (936) 634-3713

Hospital & facility affiliations

  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
  • Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy291
Upper gastrointestinal (GI) endoscopy for acid reflux126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Malladi & Reddy, PA Gastroenterology CurrentSince Aug 4, 2011 Accepting new patients
Lufkin Endoscopy Center LTD PastSince Feb 14, 1989 Accepting new patients
Health and Human Services Commission Past Accepting new patients
Lufkin Endo Anesthesia PLLC PastSince Jan 1, 2013 Accepting new patients

Locations

319 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-3713

317 Gaslight Blvd
Lufkin, TX 75904
Phone (409) 634-3713

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFEIBA

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1619979101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-634-3713",
            "fax_number": "936-634-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013124",
            "telephone_number": "936-634-3713",
            "fax_number": "936-634-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAGHUVEER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G7316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098561601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8J3485",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.