Reddy Medical Associates LTD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

REDDY MEDICAL ASSOCIATES LTD

Practice address

2911 Sycamore Rd
Dekalb, IL 60115-9205

Phone

(815) 756-1521

NPI assigned

Sep 15, 2006

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krishna ReddyNPI 1376649582

Title

President

Phone

(815) 756-1521

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishna Reddy, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dekalb, IL
  • NPI 1376649582
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1841396066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2184",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159205",
            "telephone_number": "815-756-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-756-1521"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "32913278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1922250",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C12173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Rashid, DMD
• Brittany Ray, DPT
• Helen Elizabeth Rayburn, CRNA
• Brandon Raymond
• Alexander W Reardon, MD
• Krishna Reddy, MD
• Delaney Lyn Reed
• Nathan Reed, ATC
• Jessica Lil Porter Reedman
• Amanda Marie Reeves

• Anatomic Pathology & Clinical Pathology Physician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.