Active NPI
Jaideep Reddy, M.D.
- Cardiovascular Disease Physician
- Richmond Hill, NY
National Provider Identifier
1841392305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 189763
- Practice address
- 8639 105TH St
Richmond Hill, NY 11418-1529 - Phone
- (718) 847-0063
- Fax
- (888) 464-1041
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 189763 | NY | Primary |
Addresses
Primary practice location
8639 105TH St
Richmond Hill, NY 11418-1529
Mailing address
8639 105TH St
Richmond Hill, NY 11418-1529
Phone (718) 847-0063
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917000451 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 9133244874 | Practice locations: Flushing, NY; Richmond Hill, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8639 105TH St
Richmond Hill, NY 11418-1529
Phone (718) 847-0063
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189763 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Associates of Brooklyn | Past | Accepting new patients | |
| For-Med Medical | Past | Accepting new patients | |
| Newyork-Presbyterian-Queens | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jgr9004@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brooklyn, NY
- NPI 1942484738
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NYP-Queens Diagnostic Lab
- Clinical Medical Laboratory
- Flushing, NY
- NPI 1053429274
Hospital
-
dba Transitional Care Unit
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
Hospital
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1952347205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1841392305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8639 105TH ST",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181529",
"telephone_number": "718-847-0063",
"fax_number": "888-464-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8639 105TH ST",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181529",
"telephone_number": "718-847-0063",
"fax_number": "888-464-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "JAIDEEP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "189763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.