Red Star Holdings Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME78480 Issued in FL

Legal business name

RED STAR HOLDINGS INC.

Practice address

13733 Office Park Court
Hudson, FL 34667

Phone

(727) 862-2580

Fax

(727) 862-9458

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Radhika Menon, M.D.NPI 1487633640

Title

Medical Director/President

Phone

(727) 862-2580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Internal Medicine Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Radhika Menon, M.D.

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1487633640
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1770766289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13733 OFFICE PARK COURT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-862-2580",
            "fax_number": "727-862-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13733 OFFICE PARK COURT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-862-2580",
            "fax_number": "727-862-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STAR HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "727-862-2580",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256890000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raghav Anjan Ravuri
• Vinod K Raxwal, MD
• Noah Robert Ray, PHYSICAL THERAPIST
• Ziyad H Razeq, MD
• RCM Services and Consulting
• Mahathi Adla Reddy, M.D
• Mahender M Reddy, MD
• Purushottam M Reddy, MD
• Tiyyagura S Reddy
• James Joseph Redinski, DO

• Internal Medicine Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.