Individual provider Active NPI

Pradeep Reddy, M.D.

  • Internal Medicine Physician
  • Chelsea, MA
National Provider Identifier
1730113473
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75118 Issued in MA
Practice address
Quigly Memorial Hosp.
91 Crest St./Med. Staff Off.
Chelsea, MA 02150
Phone
(617) 884-5660
NPI assigned
Jul 10, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 75118 MA Primary

Addresses

Primary practice location

Quigly Memorial Hosp.
91 Crest St./Med. Staff Off.
Chelsea, MA 02150

Mailing address

Quigly Memorial Hosp.
91 Crest St./Med. Staff Off.
Chelsea, MA 02150
Phone (617) 884-5660

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
I20060509000367 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931110798 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Jan 29, 2013 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Jan 29, 2013 Accepting new patients
Uhs of Fuller Inc Internal Medicine CurrentSince Feb 17, 2011 Accepting new patients

Locations

91 Crest Ave
Chelsea, MA 02150
Phone (617) 336-9508

200 May St
South Attleboro, MA 02703
Phone (508) 761-8500

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1730113473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QUIGLY MEMORIAL HOSP.",
            "address_2": "91 CREST ST./MED. STAFF OFF.",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "02150",
            "telephone_number": "617-884-5660",
            "fax_number": "617-887-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUIGLY MEMORIAL HOSP.",
            "address_2": "91 CREST ST./MED. STAFF OFF.",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "02150",
            "telephone_number": "617-884-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRADEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "75118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.