Individual provider Active NPI

Pushpa Y Reddy, MD

  • Internal Medicine Physician
  • Webster, TX
National Provider Identifier
1780766030
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3088 Issued in TX
Practice address
7 Professional Park Dr
Webster, TX 77598-4123
Phone
(281) 338-1815
Fax
(281) 316-2539
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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 L3088 TX Primary

Addresses

Primary practice location

7 Professional Park Dr
Webster, TX 77598-4123

Mailing address

15514 Conifer Bay CT
Houston, TX 77059
Phone (281) 338-1815

Other identifiers 2

IdentifierTypeStateIssuer
164345401MedicaidTX
8K3690OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040224000060 TX Practitioner - Internal Medicine 3577459957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Professional Park Dr
Webster, TX 77598-4123

Hospital & facility affiliations

  • Living Hope Home Healthcare Home health agency, Houston, TX, CCN 743196
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3088TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Integrated Health Care CurrentSince Oct 27, 2003 Accepting new patients
Texas Gulf Coast Medical System, Inc Internal Medicine Past Accepting new patients

Locations

7 Professional Park Dr
Webster, TX 77598
Phone (281) 332-6511

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFHBA/Endpoint/EAFHBA

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.

Hospital & facility affiliations 3

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1780766030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15514 CONIFER BAY CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77059",
            "telephone_number": "281-338-1815",
            "fax_number": "281-316-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984123",
            "telephone_number": "281-338-1815",
            "fax_number": "281-316-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PUSHPA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164345401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K3690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.