Individual provider Active NPI

Malladi S Reddy, M.D., FACC, PA

  • Specialist
  • Houston, TX
National Provider Identifier
1730102062
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J3885 Issued in TX
Practice address
2398 Baycrest Dr
Houston, TX 77058-3702
Phone
(281) 420-6000
Fax
(281) 420-9000
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J3885 TX Primary

Addresses

Primary practice location

2398 Baycrest Dr
Houston, TX 77058-3702

Mailing address

4201 Garth Road
Suite 315
Baytown, TX 77521
Phone (281) 420-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070208000315 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Peripheral Vascular DiseasePractitioner - Nuclear Medicine 1951303601

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mreddy26658@directhoustonmethodist.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1730102062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH ROAD",
            "address_2": "SUITE 315",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-420-6000",
            "fax_number": "281-420-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 BAYCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583702",
            "telephone_number": "281-420-6000",
            "fax_number": "281-420-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MALLADI",
        "middle_name": "S",
        "credential": "M.D., FACC, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.