Individual provider Active NPI

Namratha Reddy, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1629430434
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58975 Issued in TN
Practice address
225 Williford St
Memphis, TN 38112-3223
Phone
(913) 961-5457
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27002 MS
Internal Medicine Physician 207R00000X E-14092 AR
Internal Medicine Physician 207R00000X 58975 TN Primary

Addresses

Primary practice location

225 Williford St
Memphis, TN 38112-3223

Mailing address

225 Williford St
Memphis, TN 38112-3223
Phone (913) 961-5457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002588 FL Practitioner - Hospitalist 5698068922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4400

Hospital & facility affiliations

  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58975TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc Internal Medicine Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 15, 2022 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Oct 15, 2022 Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400

Interoperability endpoints

  • Direct secure messaging: nreddy21604@jupitermedicalcenter.direct-ci.com

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.

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1629430434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WILLIFORD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123223",
            "telephone_number": "913-961-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILLIFORD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123223",
            "telephone_number": "913-961-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NAMRATHA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "27002",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-14092",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.