Individual provider Active NPI

Nagaratna Reddy, M.D.

  • Family Medicine Physician
  • Donaldsonville, LA
National Provider Identifier
1770580508
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05775R Issued in LA
Practice address
217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone
(225) 473-3931
Fax
(225) 473-3289
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05775R LA Primary

Addresses

Primary practice location

217 Railroad Ave
Donaldsonville, LA 70346-2527

Mailing address

217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931

Other identifiers 1

IdentifierTypeStateIssuer
1320251MedicaidLA

Other names 1

  • Dr. Nagaratna C Reddy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20081111000417 LA Practitioner - Family Practice 8022927904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nagaratna Reddy M.DGroup PAC ID 0547236242, 8 clinicians

Practice addresses (Care Compare)

217 Railroad Ave
Donaldsonville, LA 70346-2527
Phone (225) 473-3931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05775RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nagaratna Reddy M.D Family Medicine CurrentSince Jan 1, 1996 Accepting new patients
Nagaratna Reddy MD Family Medicine CurrentSince Oct 1, 1997 Accepting new patients

Locations

217 Railroad Ave
Donaldsonvlle, LA 70346
Phone (225) 473-3931

154 Highway 1008
Napoleonville, LA 70390
Phone (985) 369-1880

3407 Highway 70 S
Pierre Part, LA 70339
Phone (225) 473-3931

58725 Belleview Rd
Ste A5
Plaquemine, LA 70764
Phone (225) 473-3931

32985 Bowie St
White Castle, LA 70788
Phone (225) 545-3631

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Reddy Family Medical ClinicPlaquemine, LA, CCN 193838 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director
Jan 1, 2010
Jan 1, 2010
Nagaratna Reddy M.D Inc Reddy Family Medical Clinic of DonaldsonvilleDonaldsonville, LA, CCN 193813 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Jan 1, 1982
Jan 1, 1996
Reddy Family Medical ClinicPierre Part, LA, CCN 193832 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Jan 1, 1998
Jan 1, 2010
Reddy Family Medical ClinicWhite Castle, LA, CCN 193836 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2000
Reddy Family Medical Clinic of NapoleonvilleNapoleonville, LA, CCN 193850 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Jan 1, 2000
Jan 1, 1998

Owned or controlled facilities with NPI records 5

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1770580508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RAILROAD AVE",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703462527",
            "telephone_number": "225-473-3931",
            "fax_number": "225-473-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 RAILROAD AVE",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703462527",
            "telephone_number": "225-473-3931",
            "fax_number": "225-473-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NAGARATNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "05775R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320251",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAGARATNA",
            "last_name": "REDDY",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Donaldsonville, LA

Sources for this page

Verify at the official NPI Registry.