Gaddam Naresh Reddy, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A42252 Issued in CA

Practice address

1825 Sonoma St
Redding, CA 96001-2519

Phone

(530) 243-8667

Fax

(530) 243-8742

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• B Nicholas Namihas M D Inc a Professional Medical Corporation

  • Gastroenterology Physician
  • Redding, CA
  • NPI 1679764781
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1619997939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993215",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960993215",
            "telephone_number": "530-243-4967",
            "fax_number": "530-243-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012519",
            "telephone_number": "530-243-8667",
            "fax_number": "530-243-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GADDAM",
        "middle_name": "NARESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A42252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A422520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A422520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Redding Transformation Dba Shasta Thrive
• Redding Treatment Network, Inc.
• Redding Urologic Associates, a Medical Corp
• Redding Vision Care Optometric Practice
• Preethi Reddivari
• Holly Reddy, AMFT
• Sonja Alysia Redinbaugh
• Ronald Earl Reece, MD
• Gene Jensen Reed, 183700000X
• Joan Rene Reed

• Gastroenterology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.