Individual provider Active NPI

Kedaari Reddy Anant, MD

  • Internal Medicine Physician
  • Peterborough, NH
National Provider Identifier
1871016832
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22283 Issued in NH
Practice address
454 Old Street Rd Ste 301
Peterborough, NH 03458-1200
Phone
(603) 924-4680
Fax
(603) 924-4977
NPI assigned
Jul 21, 2017
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 22283 NH
Internal Medicine Physician 207R00000X 22283 NH Primary

Addresses

Primary practice location

454 Old Street Rd Ste 301
Peterborough, NH 03458-1200

Mailing address

454 Old Street Rd Ste 301
Peterborough, NH 03458-1200
Phone (603) 924-4680

Other names 1

  • Kedaari Anant Reddy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20220819001144 NH Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4981014297 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22283NHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Orthopaedic Associates CurrentSince Jun 1, 2022 Accepting new patients
Monadnock Community Hospital Current Accepting new patients
Monadnock Community Hospital Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients

Locations

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 301
Peterborough, NH 03458
Phone (603) 924-4680

Interoperability endpoints

  • Direct secure messaging: kedaari.anant@mhp.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1871016832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD STE 301",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-4680",
            "fax_number": "603-924-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD STE 301",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-4680",
            "fax_number": "603-924-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANT",
        "first_name": "KEDAARI",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NH",
            "license": "22283",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "22283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEDAARI",
            "last_name": "REDDY",
            "middle_name": "ANANT",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peterborough, NH

Sources for this page

Verify at the official NPI Registry.