Gavva Ranadhir Ram Reddy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A158447 Issued in CA

Practice address

4058 Willows Rd
Alpine, CA 91901-1668

Phone

(619) 445-1188

NPI assigned

May 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Family Practice

Education

Howard University College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Hospital and Health Center IncGroup PAC ID 9739073479, shared by 8 NPIs, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orleans Essex Vna & Hospice Home health agency, Newport, VT, CCN 477018
• Orleans /Essex Vna & Hospice Hospice, Newport, VT, CCN 471504
• North Country Hospital and Health Center Hospital, Newport, VT, CCN 471304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: gavva.reddy.npi1750818274.phpct@direct.optumcare.masshiway.net

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.

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Medicare reassignment
• North Country Hospital & Health Center Inc

  • Internal Medicine Physician
  • Newport, VT
  • NPI 1417023904
  Medicare reassignment
• West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Occidental, CA
  • NPI 1598768962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Country Hospital & Health Center Inc

  • Critical Access Hospital
  • Newport, VT
  • NPI 1144251059
  Care Compare affiliation
• Orleans-Essex Vna & Hospice, Inc.

  • Community Based Hospice Care Agency
  • Newport, VT
  • NPI 1245381144
  Care Compare affiliation
• Orleans-Essex Vna & Hospice, Inc.

  • Home Health Agency
  • Newport, VT
  • NPI 1457469546
  Care Compare affiliation

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1750818274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "216-973-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "619-445-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GAVVA RANADHIR",
        "middle_name": "RAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A158447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maly Vilichay Quinto, RDH23328
• Trinette L Radasa, ACNS, FNP, PMHNP
• Kate Nelly Rasmuzzen, RDH
• Jennifer Rauch, LCSW
• Rachel Raver, PH.D.
• Christina Reed, M.D.
• Retina Institute of California Medical Group, a California Medical Par
• Cynthia Araceli Reyes
• Jordan Elizabeth Rice, CERTIFIED
• Dawn Tanya Roberts, D.C.

• Family Medicine Physician in Alpine, CA
• Providers in Alpine, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.