Organization Active NPI

Reddy and Reddy Medical Associated PLLC

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1669488425
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REDDY AND REDDY MEDICAL ASSOCIATED PLLC
Practice address
8712 58TH Ave
Elmhurst, NY 11373-4821
Phone
(718) 426-4800
Fax
(718) 651-9284
NPI assigned
Aug 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bhaskar Yeturu, M.D.NPI 1609882000
Title
Owner
Phone
(718) 426-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8712 58TH Ave
Elmhurst, NY 11373-4821

Mailing address

8712 58TH Ave
Elmhurst, NY 11373-4821
Phone (718) 426-4800

Other identifiers 1

IdentifierTypeStateIssuer
02730858MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669488425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800",
            "fax_number": "718-651-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 58TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734821",
            "telephone_number": "718-426-4800",
            "fax_number": "718-651-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY AND REDDY MEDICAL ASSOCIATED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YETURU",
        "authorized_official_first_name": "BHASKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-426-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02730858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.