Active NPI
Kala Reddy, M.D.
- Pediatrics Physician
- Pigeon, MI
National Provider Identifier
1841244514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301060834
- Practice address
- 168 N Caseville Rd
Pigeon, MI 48755-9704 - Phone
- (989) 453-2141
- Fax
- (989) 453-4450
- NPI assigned
- May 19, 2006
- Last updated
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301060834 | MI | Primary |
Addresses
Primary practice location
168 N Caseville Rd
Pigeon, MI 48755-9704
Mailing address
168 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-5210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2994767 | Medicaid | MI | |
| 100018 | Other | MI | SHN HOSPITAL GLHP |
| 3162094 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1841244514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 N CASEVILLE RD",
"city": "PIGEON",
"state": "MI",
"postal_code": "487559704",
"telephone_number": "989-453-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N CASEVILLE RD",
"city": "PIGEON",
"state": "MI",
"postal_code": "487559704",
"telephone_number": "989-453-2141",
"fax_number": "989-453-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "KALA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301060834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2994767",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHN HOSPITAL GLHP",
"identifier": "100018",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3162094",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pigeon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.