NPIMap

Individual provider Active NPI

Punuru JM Reddy, MD

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1760541197
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.18805 Issued in AL
Practice address
2828 Highway 31 S
Decatur, AL 35603-1510
Phone
(256) 353-2000
Fax
(256) 355-3470
NPI assigned
Dec 8, 2006
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 MD.18805 AL Primary

Addresses

Primary practice location

2828 Highway 31 S
Decatur, AL 35603-1510

Mailing address

2828 Highway 31 S
Decatur, AL 35603-1510
Phone (256) 353-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080128000451 AL Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 2365404258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - Morgan, LLCGroup PAC ID 5597918581, 5 clinicians
Decatur Med-Surg Clinic, LLCGroup PAC ID 7618996620, 4 clinicians
P J M Reddy MDGroup PAC ID 3072838960, 3 clinicians

Practice addresses (Care Compare)

1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 341-2000

2828 Hwy 31 S
Decatur, AL 35603-1538
Phone (256) 353-2000

2828 Hwy 31 S
Suite 101
Decatur, AL 35603-1510
Phone (256) 309-5627

2828 US Hwy 31 S
Suite 101
Decatur, AL 35603-1538

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions69
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.18805ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Morgan, LLC CurrentSince Mar 11, 2019 Accepting new patients
H H Health System-Morgan LLC CurrentSince Mar 11, 2019 Accepting new patients
Decatur Med-Surg Clinic, LLC CurrentSince Dec 18, 2000 Accepting new patients

Locations

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

2205 Beltline Rd SW
Decatur, AL 35601
Phone (256) 306-4000

2828 Highway 31 S
Decatur, AL 35603
Phone (256) 340-1212

2828 Highway 31 S
Ste 101
Decatur, AL 35603
Phone (256) 309-5627

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Moulton Primary Care ClinicMoulton, AL, CCN 013466 Rural health clinic Corporate Director Jan 1, 2023
Complete Family CareMoulton, AL, CCN 013458 Rural health clinic Corporate Director Jan 1, 2023
HH Health System - Morgan, LLCMoulton, AL, CCN 013994 Rural health clinic Corporate Director Jan 1, 2023
Lawrence Rural Health Clinic - CourtlandCourtland, AL, CCN 013401 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1760541197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031510",
            "telephone_number": "256-353-2000",
            "fax_number": "256-355-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031510",
            "telephone_number": "256-353-2000",
            "fax_number": "256-355-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PUNURU",
        "middle_name": "JM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.18805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.