Individual provider Active NPI

Kavitha D Reddy, MD

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1811983612
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202767 Issued in NY
Practice address
7218 164TH St
Flushing, NY 11365-4222
Phone
(718) 969-6640
Fax
(718) 969-1050
NPI assigned
Sep 27, 2005
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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 202767 NY Primary

Addresses

Primary practice location

7218 164TH St
Flushing, NY 11365-4222

Mailing address

7218 164TH St
Flushing, NY 11365-4222
Phone (718) 969-6640

Other identifiers 1

IdentifierTypeStateIssuer
01749540MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120126000073 NY Practitioner - Family Practice 4789603317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Oct 14, 2023 Accepting new patients
Lefferts Medical Associates PC CurrentSince Jan 1, 2022 Accepting new patients
Jamaica Hospital CurrentSince Oct 14, 2023 Accepting new patients
Instant Medical Care, PC PastSince Apr 11, 2021 Accepting new patients

Locations

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

27005 76th Ave
North New Hyde Pk, NY 11040

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kreddy165791@direct.medisys.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1811983612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 164TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-969-6640",
            "fax_number": "718-969-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 164TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654222",
            "telephone_number": "718-969-6640",
            "fax_number": "718-969-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KAVITHA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.