Individual provider Active NPI

Ashok G Reddy, M.D

  • Internal Medicine Physician
  • Winter Haven, FL
National Provider Identifier
1679554893
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074646 Issued in FL
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

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
257923500MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000399 FL Practitioner - Internal Medicine 1759463938 Reassigns benefits to 1 organization

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 Home health agency, Bradenton, FL, CCN 687173
  • Amedisys Home Health Home health agency, Winter Haven, FL, CCN 107007
  • Baycare Home Care Inc Home health agency, Lakeland, FL, CCN 107282
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074646FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Center PL Internal Medicine CurrentSince Jun 1, 2003 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

  • FHIR API: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.