Individual provider Active NPI

Nadavaluru S Reddy, MD

  • Clinical Cardiac Electrophysiology Physician
  • Springfield, MA
National Provider Identifier
1689852691
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
260328 Issued in MA
Practice address
300 Stafford St Ste 154
Springfield, MA 01104-3583
Phone
(413) 748-7095
Fax
(413) 732-0225
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 260328 MA Primary

Addresses

Primary practice location

300 Stafford St Ste 154
Springfield, MA 01104-3583

Mailing address

2 Medical Center Dr Ste 410
Springfield, MA 01107-1273
Phone (413) 748-7095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nreddy11173@direct.riverbendmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141103001772 MA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5294957494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Stafford St
Springfield, MA 01104-3581
Phone (413) 748-7095

300 Stafford St
Suite 154
Springfield, MA 01104-3583
Phone (413) 748-7095

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Cardiology Associates ,Inc. CurrentSince Oct 28, 2014 Accepting new patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Oct 28, 2014 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Jun 15, 2015 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Baystate Medical Center Inc Past Accepting new patients

Locations

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

300 Stafford St
Ste 101
Springfield, MA 01104
Phone (413) 732-1928

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 748-7095

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nreddy2387910@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1689852691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR STE 410",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071273",
            "telephone_number": "413-748-7095",
            "fax_number": "413-732-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 154",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043583",
            "telephone_number": "413-748-7095",
            "fax_number": "413-732-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NADAVALURU",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MA",
            "license": "260328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nreddy11173@direct.riverbendmedical.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "300 Stafford St Ste 154",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011043583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.