Jaiveer T Reddy, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD015261E Issued in PA

Practice address

82 Barnett St
Brookville, PA 15825-1262

Phone

(814) 849-8858

Fax

(814) 849-3741

NPI assigned

Nov 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jaiveer T. Reddy, M.D.

  • Urology Physician
  • Brookville, PA
  • NPI 1043403421
  Authorized official Same address or phone

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1841273679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BARNETT ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251262",
            "telephone_number": "814-849-8858",
            "fax_number": "814-849-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BARNETT ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251262",
            "telephone_number": "814-849-8858",
            "fax_number": "814-849-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "JAIVEER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD015261E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "1043403421",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006479860001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1043403421",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Associates of Western PA.
• Primary Care Associates of Western Pennsylvania PC
• Joseph M Prusakowski, D.O.
• Malissa Lynne Rankin, OTR
• Sharon Rose Rapski, M.ED.
• Barbara Elaine Reinard, P.T.
• Emily Renee Reinard
• Lynda Reinard
• Wendy Reynolds, RN, CLC, ANLC
• Harry Ed Richards, D.M.D.

• Urology Physician in Brookville, PA
• Providers in Brookville, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.