Associates in Geriatric Medicine LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

ASSOCIATES IN GERIATRIC MEDICINE LLC

Practice address

6503 Plantation Preserve Cir N
Fort Myers, FL 33966-8366

Phone

(727) 798-0482

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Prasad Kasireddy

Title

Officemanager

Phone

(503) 490-4362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Nallu S Reddy, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1063687556
  Medicare reassignment

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1790015717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 PLANTATION PRESERVE CIR N",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668366",
            "telephone_number": "727-798-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 PLANTATION PRESERVE CIR N",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668366",
            "telephone_number": "727-798-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN GERIATRIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "KASIREDDY",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "OFFICEMANAGER",
        "authorized_official_telephone_number": "503-490-4362"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.