Individual provider Active NPI

Beeravolu Ramesh Reddy, MD

  • Interventional Cardiology Physician
  • Port Huron, MI
National Provider Identifier
1679534135
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301048340 Issued in MI
Practice address
1222 10TH Ave
Port Huron, MI 48060-3406
Phone
(810) 985-9681
Fax
(810) 985-3590
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 4301048340 MI Primary

Addresses

Primary practice location

1222 10TH Ave
Port Huron, MI 48060-3406

Mailing address

1222 10TH Ave
Port Huron, MI 48060-3406
Phone (810) 985-9681

Other practice location 1

460 Long Rapids Plz
Alpena, MI 49707-1442
Phone (989) 356-0141

Other practice location 2

2660 W Sugnet Rd
Midland, MI 48670-3406
Phone (989) 832-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080328000412 MI Practitioner - Cardiovascular Disease (Cardiology) 1951294842 Reassigns benefits to 3 organizations
I20251031000559 FL Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1951294842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Assoc of Port HuronGroup PAC ID 1658348776, 10 clinicians
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians
The Heart Center of Palm Coast, LLCGroup PAC ID 2062809593, 2 clinicians

Practice addresses (Care Compare)

1222 10TH Ave
Port Huron, MI 48060-3406
Phone (810) 985-9681

460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone (989) 356-0141

61 Memorial Medical Pkwy
Suite 3816
Palm Coast, FL 32164-5982
Phone 8322643744000

Hospital & facility affiliations

  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Assoc of Port Huron CurrentSince Mar 1, 1984 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 21, 2025 Accepting new patients
The Heart Center of Palm Coast, LLC CurrentSince Nov 10, 2025 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jul 21, 2025 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jul 21, 2025 Accepting new patients

Locations

61 Memorial Medical Pkwy
Ste 3816
Palm Coast, FL 32164
Phone (386) 586-1720

460 Long Rapids Plz
Alpena, MI 49707
Phone (989) 356-0141

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1222 10th Ave
Port Huron, MI 48060
Phone (810) 985-9681

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDHCD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: beeravolu.reddy.p1@direct.porthuronheartcenter.nextgenshare.com

Organizations & group practices 6

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 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1679534135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603406",
            "telephone_number": "810-985-9681",
            "fax_number": "810-985-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 10TH AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603406",
            "telephone_number": "810-985-9681",
            "fax_number": "810-985-3590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Long Rapids Plz",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "497071442",
            "country_code": "US",
            "telephone_number": "989-356-0141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2660 W Sugnet Rd",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486703406",
            "country_code": "US",
            "telephone_number": "989-832-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "BEERAVOLU",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301048340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.