NPIMap

Individual provider Active NPI

Ashok Y Reddy, MD

  • Urology Physician
  • Sterling Heights, MI
National Provider Identifier
1720069040
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301063294 Issued in MI
Practice address
44344 Dequindre Rd
Suite 210
Sterling Heights, MI 48314-1038
Phone
(586) 323-4200
Fax
(586) 843-3940
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301063294 MI Primary

Addresses

Primary practice location

44344 Dequindre Rd
Suite 210
Sterling Heights, MI 48314-1038

Mailing address

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3200
Phone (586) 771-4820

Other identifiers 2

IdentifierTypeStateIssuer
0E06273OtherMIBCBSM
CB9133OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050413000880 MI Practitioner - Urology 0941247779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

20952 E 12 Mile Rd
Suite 200
Saint Clair Shores, MI 48081-3203
Phone (586) 771-4820

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063294MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Institute of Urology PC Urology CurrentSince Nov 1, 2010 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology CurrentSince Nov 1, 2010 Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology, PC Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology PC Urology Past Accepting new patients
Michigan Institute of Urology PC Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Alliance Physician Services of Michigan, P.C. Urology Past Accepting new patients
Michigan Institute of Urology PC Urology Past Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 250
Clarkston, MI 48346
Phone (248) 620-6660

1 William Carls Dr
Ste 210
Commerce Twp, MI 48382
Phone (248) 387-2733

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124
Phone (313) 271-0066

19991 Hall Rd
Ste 201
Macomb, MI 48044
Phone (586) 228-0150

25500 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (248) 426-1300

44200 Woodward Ave
Ste 207
Pontiac, MI 48341
Phone (248) 322-6103

1701 South Blvd E
Ste 340
Rochester Hills, MI 48307
Phone (248) 293-1000

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

44344 Dequindre Rd
Ste 210
Sterling Heights, MI 48314
Phone (586) 323-4200

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

130 Town Center Dr
Ste 101
Troy, MI 48084
Phone (248) 740-0670

11051 Hall Rd
Ste 200
Utica, MI 48317
Phone (586) 254-5759

2300 Haggerty Rd
Ste 2000
West Bloomfield, MI 48323
Phone (248) 624-9900

Organizations & group practices 24

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.

View all 24

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1720069040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44344 DEQUINDRE RD",
            "address_2": "SUITE 210",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141038",
            "telephone_number": "586-323-4200",
            "fax_number": "586-843-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ASHOK",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301063294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E06273",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB9133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.