Active NPI
Kala Gopal Reddy, M.D.
- Obstetrics & Gynecology Physician
- Rochester, MI
National Provider Identifier
1760472963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- KR044107
- Practice address
- 961 Oakwood Dr
Rochester, MI 48307-1318 - Phone
- (248) 651-8889
- Fax
- (248) 651-2228
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | KR044107 | MI | Primary |
Addresses
Primary practice location
961 Oakwood Dr
Rochester, MI 48307-1318
Mailing address
961 Oakwood Dr
Rochester, MI 48307-1318
Phone (248) 651-8889
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1606320361 | Other | MI | BLUE CARE NETWORK |
| 0636484 | Other | MI | BCN |
| 1606320361 | Other | MI | BCBS |
| 1606364841 | Other | MI | BC/BS |
| A78266 | Other | MI | HAP |
Other names 1
- Dr. Kala Gopal Reddy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KR044107 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1760472963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 OAKWOOD DR",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071318",
"telephone_number": "248-651-8889",
"fax_number": "248-651-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 OAKWOOD DR",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071318",
"telephone_number": "248-651-8889",
"fax_number": "248-651-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "KALA",
"middle_name": "GOPAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "KR044107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1606320361",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "0636484",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1606320361",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "1606364841",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "A78266",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KALA",
"last_name": "REDDY",
"middle_name": "GOPAL",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.