Active NPI
Ashok G Reddy, M.D
- Internal Medicine Physician
- Winter Haven, FL
National Provider Identifier
1679554893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0074646
- Practice address
- 308 Avenue C NE
Winter Haven, FL 33881-4558 - Phone
- (863) 294-7959
- Fax
- (863) 294-9338
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0074646 | FL | Primary |
Addresses
Primary practice location
308 Avenue C NE
Winter Haven, FL 33881-4558
Mailing address
9733 Wyland CT
Windermere, FL 34786-5610
Phone (863) 294-7959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257923500 | Medicaid | FL |
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
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
308 Ave 'C' NE
Winter Haven, FL 33881-4558
Phone (863) 294-7959
Hospital & facility affiliations
- Patients First Home Care LLC
- Amedisys Home Health
- Baycare Home Care Inc
- Winter Haven Hospital
- Adventhealth Sebring
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0074646 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Center PL | Internal Medicine | Current | Accepting new patients |
Locations
308 Avenue C NE
Winter Haven, FL 33881
Phone (863) 294-7959
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEEABA/Endpoint/BEEABA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1972550408
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Home Health Agency
- Winter Haven, FL
- NPI 1982662276
-
- Home Health Agency
- Bradenton, FL
- NPI 1295728186
-
- Home Health Agency
- Lakeland, FL
- NPI 1952309171
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- Home Health Agency
- Bradenton, FL
- NPI 1578252615
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1679554893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9733 WYLAND CT",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865610",
"telephone_number": "863-294-7959",
"fax_number": "863-294-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 AVENUE C NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814558",
"telephone_number": "863-294-7959",
"fax_number": "863-294-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "ASHOK",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0074646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257923500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.