Irance' Reddix, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0064454 Issued in MD

Practice address

644 E 33Rd St
Baltimore, MD 21218-3504

Phone

(410) 871-8537

Fax

(410) 630-5368

NPI assigned

Jun 6, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Locations

Interoperability endpoints

• Direct secure messaging: irance.reddix.1@18149.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18149/brand/1/csg/1/fhir/r4

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.

• Saluja Medical Associates

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1932399466

  Family Medicine

  Medicare reassignment NPD
• Sterile Technique Phlebotomy and CPR First Aid School LLC

  • Phlebotomy Technician
  • Randallstown, MD
  • NPI 1043941685
  Medicare reassignment NPD
• Adullum Community Healthcare Center, Inc.

  • Community Health Clinic/Center
  • Baltimore, MD
  • NPI 1801277520
  NPD Authorized official
• Western Communities Family Practice Assoc Inc

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1043271596
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1659310431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 KENJAC RD",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441323",
            "telephone_number": "318-348-5622",
            "fax_number": "410-630-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E 33RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183504",
            "telephone_number": "410-871-8537",
            "fax_number": "410-630-5368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Slade Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084915",
            "country_code": "US",
            "telephone_number": "410-585-0124",
            "fax_number": "410-585-0127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDIX",
        "first_name": "IRANCE'",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0064454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412870200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rama Devi Reddi, MD
• Kambria Reddick
• Ann Redding, P.T.
• Ardena E Reddish, LCSWC
• Reddix Family Healthcare LLC
• Shirley E Reddoch, M.D.
• Aashna Reddy, DO
• Angela Rose Reddy, MD
• Anuradha Devuni Reddy, M.D
• Jessica Reddy

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.