NPIMap

Individual provider Active NPI

Ajay Reddy, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1679593685
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0053691 Issued in MD
Practice address
3200 Tower Oaks Blvd
Suite 110
Rockville, MD 20852-4216
Phone
(301) 230-9091
Fax
(301) 230-9095
NPI assigned
Jul 20, 2006
Last updated
Nov 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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 D0053691 MD Primary

Addresses

Primary practice location

3200 Tower Oaks Blvd
Suite 110
Rockville, MD 20852-4216

Mailing address

3200 Tower Oaks Blvd
Suite 110
Rockville, MD 20852-4216
Phone (301) 230-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090828000537 DC Practitioner - Internal Medicine 4789739632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

3200 Tower Oaks Blvd
Suite 110
Rockville, MD 20852-4283
Phone (301) 230-9091

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053691MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ajay Reddy, L.L.C. Internal Medicine CurrentSince Jun 3, 2003 Accepting new patients
Sunrise Medical Group, LLC PastSince Aug 15, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3200 Tower Oaks Blvd
Rockville, MD 20852
Phone (301) 593-6554

3200 Tower Oaks Blvd
Ste 110
Rockville, MD 20852
Phone (301) 230-9091

Interoperability endpoints

  • Direct secure messaging: ajay.reddy.1@4329.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4329/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1679593685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 TOWER OAKS BLVD",
            "address_2": "SUITE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524216",
            "telephone_number": "301-230-9091",
            "fax_number": "301-230-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TOWER OAKS BLVD",
            "address_2": "SUITE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524216",
            "telephone_number": "301-230-9091",
            "fax_number": "301-230-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.