Active NPI
Niveditha Shankara Reddy
- Hospitalist Physician
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME103829
- Practice address
- 4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005 - Phone
- (813) 321-6237
- Fax
- (813) 463-1801
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME103829 | FL | |
| Infectious Disease Physician | 207RI0200X | ME103829 | FL | |
| Hospitalist Physician | 208M00000X | ME103829 | FL | Primary |
Addresses
Primary practice location
4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Mailing address
4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone (813) 321-6237
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00997944 | Other | FL | MEDICARE RAILROAD PROVIDER NUMBER |
| 000904100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Niveditha.ReddyMD@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1121 Overcash Dr
Unit B
Dunedin, FL 34698-5516
Phone (727) 223-5991
210 14TH St SW
Largo, FL 33770-2905
Phone (727) 734-6932
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 734-6932
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 734-6932
601 Main St
Dunedin, FL 34698-5848
Phone (727) 734-6932
6600 Madison St
Suite 2
New Port Richey, FL 34652-1971
Phone (727) 815-7207
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103829 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Inpatient Services of Florida PA | Internal Medicine | Past | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
646 Virginia St
#421
Dunedin, FL 34698
Phone (727) 734-9267
4211 Van Dyke Rd
#200
Lutz, FL 33558
Phone (813) 264-6490
4211 Van Dyke Rd
Ste 200
Lutz, FL 33558
Phone (813) 264-6490
6600 Madison St
Fl 2
New Port Richey, FL 34652
Phone (727) 815-7207
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
1840 Mease Dr
Ste 319
Safety Harbor, FL 34695
Phone (727) 669-6800
10909 W Linebaugh Ave
Ste 100
Tampa, FL 33626
Phone (813) 792-8878
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAGADD/Endpoint/EAGADD
- niveditha.reddymd@direct.mybaycare.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Internal Medicine
-
- Infectious Disease Physician
- Dunedin, FL
- NPI 1619912557
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Internal Medicine Physician
- New Port Richey, FL
- NPI 1992715619
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Largo, FL
- NPI 1033117007
-
- Home Health Agency
- Tampa, FL
- NPI 1134127301
-
- Home Health Agency
- Dunedin, FL
- NPI 1972501252
-
dba HCA Florida Largo Hospital
- General Acute Care Hospital
- Largo, FL
- NPI 1144274879
-
dba Morton Plant Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba Mease Countryside Hospital
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
dba Mease Dunedin Hospital
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1669482352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 VAN DYKE RD STE 200",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588005",
"telephone_number": "813-321-6237",
"fax_number": "813-463-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 VAN DYKE RD STE 200",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588005",
"telephone_number": "813-321-6237",
"fax_number": "813-463-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "NIVEDITHA",
"middle_name": "SHANKARA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME103829",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME103829",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME103829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
"identifier": "P00997944",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000904100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Niveditha.ReddyMD@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.