Individual provider Active NPI

Himabindu Reddy, M.D.

  • Pediatrics Physician
  • Stockbridge, GA
National Provider Identifier
1659667160
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
276501 Issued in NY
Practice address
915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone
(770) 996-6699
Fax
(770) 997-4790
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 276501 NY Primary

Addresses

Primary practice location

915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011

Mailing address

915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 996-6699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hreddy@psma.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190816003172 GA Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 1355679168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pediatric Medicine
Education
Wisconsin College of Physicians and Surgeons, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Sleep Medicine Associates, LLPGroup PAC ID 9931013760, 5 clinicians

Practice addresses (Care Compare)

915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone 7709966699151

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276501NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Sleep Medicine Associates, LLP CurrentSince Jun 24, 2019 Accepting new patients
Allied Physicians Group, PLLC Pediatrics Past Accepting new patients

Locations

132 Old Norton Rd
Ste 101
Fayetteville, GA 30215
Phone (770) 692-9501

6572 River Park Dr
Ste 101
Riverdale, GA 30274
Phone (678) 626-1833

915 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (770) 506-4350

Interoperability endpoints

  • Direct secure messaging: hreddy@psma.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1659667160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815011",
            "telephone_number": "770-996-6699",
            "fax_number": "770-997-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815011",
            "telephone_number": "770-996-6699",
            "fax_number": "770-997-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "HIMABINDU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "276501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hreddy@psma.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 Eagles Landing Pkwy",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302815011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.